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J Thorac Cardiovasc Surg 2003;125:1531-1532
© 2003 The American Association for Thoracic Surgery

Brief Communications

Accessory mitral valve as cause of left ventricular obstruction in the adult

João Costa, MD, Jorge Almeida, MD, Fernando Barreiros, MD, Rodrigues Sousa, MD Porto, Portugal

From the Center of Thoracic Surgery, S. João Hospital, Porto, Portugal.

Received for publication March 27, 2002. Accepted for publication April 18, 2002. Address for reprints: Jorge Almeida, MD, Centro de Cirurgia Torácica, Hospital de S. João, 4202-451, Porto, Portugal. (E-mail: jalmeida@hsjoao.min-saude.pt).

The first 20% of the full text of this article appears below.

A mitral valve tissue is a rare congenital cardiac malformation and an uncommon cause of left ventricular outflow tract (LVOT) obstruction. To our knowledge, there are about 50 reported cases in the medical literature, most of them diagnosed during childhood in association with other congenital heart defects. In the adult patient, accessory mitral valve is an uncommon feature. We report the case of a 43-year-old man, referred for operation on a subaortic membranous stenosis diagnosed by transthoracic echocardiography (TTE), in whom an obstructive accessory mitral valve was identified during the surgical procedure.

Clinical summary

A 43-year-old Caucasian man was referred to our center with the diagnosis of membranous subaortic stenosis, which had been made by TTE. He reported short episodes of palpitations since his 30s, . . . [Full Text of this Article]






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