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Accessory Mitral Valve Tissue Obstructing Left Ventricular Outflow Tract

Division of Cardiothoracic Surgery 1 Division of Cardiac Anesthesiology Medwin Hospital Hyderabad, Andhra Pradesh, India
For reprint information contact: Gopi Chand Mannam, FRCS Tel: 91 40 666 1935 Fax: 91 40 662 5003 email: gmannam{at}yahoo.com Department of Cardiothoracic Surgery, CARE Hospital, Road No. 1, Banjara Hills, Hyderabad, Andhra Pradesh 500034, India.

A 6-year-old girl underwent surgical excision of accessory mitral valve tissue causing significant subaortic stenosis. Preoperative 2-dimensional echocardio-graphy gave the necessary information on this isolated anomaly. The approach through an aortotomy provided adequate exposure. Postoperatively, there was no residual gradient across the left ventricular outflow tract, or mitral regurgitation.