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European Journal of Echocardiography Advance Access published online on April 14, 2008
European Journal of Echocardiography, doi:10.1093/ejechocard/jen152
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org

Left ventricular outflow tract obstruction in the presence of asymmetric septal hypertrophy and accessory mitral valve tissue treated with alcohol septal ablation

Michael S. Kim, Andrew J. Klein, Bertron M. Groves, Robert A. Quaife and Ernesto E. Salcedo*

Division of Cardiology, University of Colorado Denver and Health Sciences Center, Anschutz Medical Campus, 12605 E. 16th Avenue, Campus Mail Stop B-120, Aurora, CO 80045, USA

Received 15 January 2008; .

* Corresponding author. Tel: +1 720 848 7565; fax: +1 720 848 5301. E-mail address: ernesto.e.salcedo{at}uchsc.edu


  Abstract

Redundant or accessory mitral valve tissue (AMVT) is a rare clinical condition. It is an even rarer cause of left ventricular outflow tract obstruction. We report a case of an adult male with medically unresponsive hypertrophic obstructive cardiomyopathy in whom real-time three-dimensional transesophageal echocardiography was used to both diagnose the presence of coexistent asymmetric septal hypertrophy and AMVT as well as confirm the safety and efficacy of treatment with alcohol septal ablation.

Keywords: Accessory mitral valve tissue; Hypertrophic obstructive cardiomyopathy; Alcohol septal ablation; Three-dimensional echocardiography


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