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Repair of a Duplicate Mitral Valve in a Patient With Ascending Aortic Aneurysm and Bicuspid Aortic Valve  Guy Jensen, MD, Thomas Smith, MD, Mona Flores,

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Presentation on theme: "Repair of a Duplicate Mitral Valve in a Patient With Ascending Aortic Aneurysm and Bicuspid Aortic Valve  Guy Jensen, MD, Thomas Smith, MD, Mona Flores,"— Presentation transcript:

1 Repair of a Duplicate Mitral Valve in a Patient With Ascending Aortic Aneurysm and Bicuspid Aortic Valve  Guy Jensen, MD, Thomas Smith, MD, Mona Flores, MD  The Annals of Thoracic Surgery  Volume 97, Issue 3, Pages e67-e69 (March 2014) DOI: /j.athoracsur Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Transesophageal echocardiography. (A) The asterisk (*) marks the normal anatomical mitral valve in the open position. The arrow marks the smaller duplicate mitral valve in the open position. (B) The asterisk (∗) marks the normal anatomical mitral valve in the closed position. The arrow marks the smaller duplicate mitral valve in the closed position. (AV = aortic valve; LAA = left atrial appendage.) The Annals of Thoracic Surgery  , e67-e69DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 A separate, smaller mitral valve with unique chordae and leaflets was located lateral and anterior to the mitral valve and separated by a bridge of normal atrial tissue. The Annals of Thoracic Surgery  , e67-e69DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 The second mitral valve was found to be nearly totally incompetent, despite the existence of a subvalvular apparatus. The Annals of Thoracic Surgery  , e67-e69DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 Oversewing the duplicate mitral valve.
The Annals of Thoracic Surgery  , e67-e69DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

6 Fig 5 Repeat transthoracic echocardiography obtained 1 month postoperatively. The asterisk (∗) marks the jet of mitral regurgitation. The arrow marks the repaired duplicate mitral valve. (LV = left ventricle). The Annals of Thoracic Surgery  , e67-e69DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

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