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J Thorac Cardiovasc Surg 2005;130:217-218
© 2005 The American Association for Thoracic Surgery
Brief Communication |
a Université René DescartesParis V, Paris, France
b Department of Cardiovascular Surgery, Georges Pompidou European Hospital, Paris, France
Received for publication October 28, 2004; revisions received November 4, 2004; accepted for publication November 5, 2004. * Address for reprints: Rachid Zegdi, MD, Hôpital Européen Georges Pompidou, Service de Chirurgie Cardiovasculaire, 20, rue Leblanc, 75908 Paris, France (Email: rzegdi@hotmail.com).
| The first 20% of the full text of this article appears below. |
The hammock mitral valve is a rare congenital abnormality resulting in mitral stenosis, mitral regurgitation, or both. Although sometimes technically challenging, the repair of such lesion is possible1
and should be preferred to mitral valve replacement.2
We describe here for the first time the case of an adult patient who underwent mitral valve repair for severe mitral regurgitation related to a hammock mitral valve malformation.
Clinical Summary
An 18-year-old woman was referred to our department for surgical treatment of severe mitral valve regurgitation. She had symptoms and signs of congestive heart failure. There were no signs or history of endocarditis, and her previous medical history was free from rheumatic heart disease. Transesophageal echocardiography showed 4+/4 mitral regurgitation and dilated left cardiac cavities. There was no mitral stenosis or other cardiac malformation. The careful analysis of the mitral valve anatomy confirmed a hammock mitral valve by showing the presence of a unique overdeveloped papillary muscle, originating high on the posterior wall of the left ventricle, just underneath the mural leaflet (Figure 1).
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