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Ann Thorac Surg 1995;59:1001-1003
© 1995 The Society of Thoracic Surgeons
a Cardiology Division, Department of Internal Medicine, National Naval Medical Center, Bethesda, Maryland, USA
b Cardiac Surgery Section, Virginia Heart Center, Falls Church, Virginia, USA
Accepted for publication August 11, 1994.
* Address reprint requests to Dr Kruithoff, Cardiology Division, National Naval Medical Center, Bethesda, MD 20889-5600.
An individual with a ruptured congenital subvalvular aneurysm is presented. The anterior location in the mitral annulus compromised the intervalvular fibrosa shared by the aortic valve. Aortic and mitral valve replacement were required to obliterate the resulting fistula between the left ventricle and left atrium.
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