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THE JOURNAL OF CARDIOVASCULAR SURGERY

A Journal on Cardiac, Vascular and Thoracic Surgery


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The Journal of Cardiovascular Surgery 2002 December;43(6):843-7

Copyright © 2009 EDIZIONI MINERVA MEDICA

language: English

Accessory mitral valve leaflet in an adult with coronary artery disease

Prifti E. 1, 2, Bonacchi E. 2, Frati G. 2, Voci P. 1, Leacche M. 1

1 Institute of Heart and Great Vessels Surgery “La Sapienza” University of Rome, Rome, Italy 2 Institute of Thoracic and Cardiovascular Surgery and Biomedical Technologies University of Siena, Siena, Italy


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Accessory mitral valve leaflet is a very rare cause of left ventricular outflow tract obstruction. We report a patient presenting this cardiac abnormality who undergone cardiac surgery. A 60-year-old man, presented coronary artery disease and moderate left ventricular tract obstruction due to accessory mitral valve leaflet. The accessory mitral valve leaflet had the typical morphology of a parachute-shaped attached partially to the anterior mitral valve leaflet, with chordae tendinae attached to: 1) an accessory papillary muscle inserted at the free-wall closed to the apex; 2) interconnected with the chordae tendinae of the anterior mitral valve leaflet; 3) a second accessory papillary muscle inserted to the interventricular septum. He underwent successful coronary revascularization of 2 vessels and accessory leaflet excision. A review of 21 cases with accessory mitral valve leaflet is reported.

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