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Ann Thorac Surg 2008;86:1978-1979. doi:10.1016/j.athoracsur.2008.05.055
© 2008 The Society of Thoracic Surgeons
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Sandro Gelsomino
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Right arrow Congenital - acyanotic

Case Reports

Severe Hypoplasia of the Posterior Mitral Leaflet

Sabina Caciolli, MD, Sandro Gelsomino, MD*, Giuseppe Fradella, MD, Sergio Bevilacqua, MD, Silvia Favilli, MD, Gian Franco Gensini, MD

Departments of Cardiac Surgery and Experimental Surgery, Careggi Hospital, Florence, Italy

Accepted for publication May 19, 2008.

* Address reprint requests to Dr Gelsomino, Department of Heart and Vessels, Cardiac Surgery Unit, Careggi Hospital, Viale Morgagni 85, Florence, 50134, Italy (Email: sabinacaciolli{at}tele2.it).

A rare case of a 14-year-old child with congenital mitral insufficiency secondary to hypoplasia of the posterior leaflet is reported. Echocardiography revealed the almost complete absence of the posterior mitral leaflet, which determined massive regurgitation. At surgical inspection the posterior leaflet was almost completely absent, represented only by tags of fibrous tissue that strictly adhered to the posterior annulus with a total absence of chordae inserting into the hypoplastic leaflet. The mitral valve was successfully repaired by restrictive annuloplasty, which gained a satisfactory surface of coaptation between the anterior leaflet and the primordial posterior structure, resulting in stable valve continence.






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