A.I. BURNASYAN FMBC CLINICAL BULLETIN

ISSN 2782-6430 (print)

State Research Center −Burnasyan Federal Medical Biophysical
Center of Federal Medical Biological Agency

The journal is published in Russian.
Format – A4.
The periodicity of the journal is 4 times a year.

Issue №2 2025 год

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A.I. Burnasyan  FMBC clinical bulletin. 2022 № 4

I.N. Posokhov
Accessory Mitral Valve Tissue in the Internist’s Practice

Burnasyan State Research Center – Federal Medical Biophysical Center of Federal Medical Biological Agency
Contact person: Posokhov Igor Nicolaevich: igor@posohov.ru

Abstract
Attention to the topic of accessory mitral valve tissue intense in the 90s. After that, it would seem that interest began to fade, however, at present it has begun to increase again according the number of reviews found in MedLine. ‘What is the reason for the increased interest’, ‘what is the current state of art’ these questions were the background for this review. This lecture summarizes new knowledge about mitral valve accessory tissue and makes it clear that it is important to physicians in many specialties including internists.

Keywords: mitral valve, accessory mitral valve tissue

For citation: Posokhov IN. Accessory Mitral Valve Tissue in the Internist’s Practice. A.I. Burnasyan Federal Medical Biophysical Center Clinical Bulletin. 2022.4:35-40. (In Russian) DOI: 10.33266/2782-6430-2022-4-35-40


REFERENCES

  1. Meldrum-Hanna WG, Cartmill TB, Hawker RE, Celermajer JM, Wright CM. Accessory mitral valve tissue causing left ventricular outflow tract obstruction. Br Heart J. 1986 Apr;55(4):376-80.
  2. Yetkin E, Cuglan B, Turhan H, Yalta K. Accessory mitral valve tissue: anatomical and clinical perspectives. Cardiovasc Pathol. 2021 Jan-Feb;50:107277.
  3. Manganaro R, Zito C, Khandheria BK, Cusmà-Piccione M, Chiara Todaro M, Oreto G, D’Angelo M, Mohammed M, Carerj S. Accessory mitral valve tissue: an updated review of the literature. Eur Heart J Cardiovasc Imaging. 2014 May;15(5):489-97.
  4. Li Y, Hu Y, Wang J, Liu L. A rare case of accessory mitral valve tissue causing left ventricular outflow tract obstruction associated with parachute mitral valve, ventricular septal defect, bicuspid aortic valve, unruptured aneurysm of aortic sinus: a case report. Eur Heart J Case Rep. 2018 Jul 16;2(3):yty082.
  5. Gurrieri C, Nelson J, Wurm H, Cicek MS, Maalouf JF. An Extremely Rare Cause of Mitral Regurgitation-Accessory Commissural Mitral Tissue with Anomalous Left Atrial Chordal Attachment. CASE (Phila). 2019 Jul 9;3(5):200-203.
  6. Yuan SM, Shinfeld A, Mishaly D, Haizler R, Ghosh P, Raanani E. Accessory mitral valve tissue: a case report and an updated review of literature. J Card Surg. 2008 Nov-Dec;23(6):769-72.
  7. Misumi I, Nagao A, Iwamoto K, Honda T, Ishii M, Ueyama H, Maeda Y, Ishizaki M, Kurisaki R, Okazaki T, Yamashita T, Fujimoto A, Honda Y. Acute Multiple Cerebral Infarction in a Patient with an Accessory Mitral Valve. Intern Med. 2017;56(2):153-155.
  8. Panduranga P, Eapen T, Al-Maskari S, Al-Farqani A. Accessory mitral valve tissue causing severe left ventricular outflow tract obstruction in a post-Senning patient with transposition of the great arteries. Heart Int. 2011;6(1):e6.
  9. Prifti E, Bonacchi M, Bartolozzi F, Frati G, Leacche M, Vanini V. Postoperative outcome in patients with accessory mitral valve tissue. Med Sci Monit. 2003 Jun;9(6):RA126-33.
  10. Alsaid A, Cawley PJ, Bauch TD, Good CW. Hanging by a thread, severe mitral regurgitation due to accessory left atrial cord. Eur Heart J Cardiovasc Imaging. 2016 Aug;17(8):943.
  11. D’Onghia G, Martin M, Mancini MT, Quintarelli S, Cozza A, Guarracini F, Bonmassari R. A late presentation of congenital cardiac anomaly: Accessory chordae from the left atrium causing severe mitral regurgitation. Echocardiography. 2018 May;35(5):750-752.
  12. Papadopoulos CE, Pagourelias E, Kallifatidis A, Zioutas D, Vassilikos V. Left ventricular outflow obstruction secondary to accessory mitral valve tissue in a patient with hypertrophic cardiomyopathy. J Echocardiogr. 2015 Jun;13(2):79-80.
  13. Ucak A, Onan B, Alp I, Yılmaz AT. Accessory mitral papillary muscle causing severe aortic insufficiency. Turk Kardiyol Dern Ars. 2010 Dec;38(8):564-7.
  14. Gaspar A, Almeida J, Marinho B, Monteiro V, Abreu A, Pinho P. Images in cardiovascular medicine. Accessory mitral valve with cordal attachments to mitral and aortic valves: an unusual cause of left ventricular outflow tract obstruction and both mitral and aortic insufficiencies. Circulation. 2011 Oct 25;124(17):e434-6.
  15. Sarioğlu T, Arnaz A, Saygili A. Accessory miniature mitral valve causing subaortic obstruction. Ann Thorac Surg. 2015 May;99(5):1868-9.
  16. Alizade E, Çağan Efe S, Kutlutürk I, Fidan S, Avcı A, Metin Esen A. Occlusion of the retinal artery occlusion by undiagnosed accessory mitral valve tissue. Herz. 2014 Aug;39(5):651-3.
  17. Rao N, Gajjar T, Desai N. Accessory mitral valve tissue: an unusual cause of congenital mitral stenosis. Interact Cardiovasc Thorac Surg. 2012 Jan;14(1):110-2.
  18. D’Onghia G, Martin M, Mancini MT, Quintarelli S, Cozza A, Guarracini F, Bonmassari R. A late presentation of congenital cardiac anomaly: Accessory chordae from the left atrium causing severe mitral regurgitation. Echocardiography. 2018 May;35(5):750-752.
  19. Golias C, Bitsis T, Krikidis D, Charalabopoulos K. Accessory mitral valve without subaortic obstruction of left ventricular outflow tract in a middle-aged male. BMJ Case Rep. 2012 Nov 21;2012:bcr2012006949.
  20. Panduranga P, Al-Mukhaini M. Isolated non-obstructive accessory mitral valve tissue in an adult mimicking ruptured chordae. Indian Heart J. 2013 May-Jun;65(3):334-6.
  21. Turhan H, Yetkin E. A potential source of cardioembolic cerebrovascular event: accessory mitral valve tissue. Int J Cardiol. 2009 Apr 3;133(2):e57.
  22. Kahyaoglu M, Kalayci A, Gecmen C, Sari M, Guner A, Celik M, İzgi IA, Kirma C. A rare cause of retinal artery embolism: Accessory mitral valve tissue. Echocardiography. 2018 Feb;35(2):258-259.
  23. Sharma R, Smith J, Elliott PM, McKenna WJ, Pellerin D. Left ventricular outflow tract obstruction caused by accessory mitral valve tissue. J Am Soc Echocardiogr. 2006 Mar;19(3):354.e5-354.e8.
  24. Kim MS, Klein AJ, Groves BM, Quaife RA, Salcedo EE. Left ventricular outflow tract obstruction in the presence of asymmetric septal hypertrophy and accessory mitral valve tissue treated with alcohol septal ablation. Eur J Echocardiogr. 2008 Sep;9(5):720-4.
  25. Gray AP, Mahon NG. Left ventricular outflow tract obstruction secondary to right atrial dilatation and accessory mitral valve tissue in a patient with Ebstein’s anomaly – Case report. J Cong Cardiol 2019;3(1):1–5.
  26. Mathias H, Ismail Y, Hamilton MC, Manghat NE. Accessory mitral valve tissue: appearance on cardiac computed tomography. J Cardiovasc Comput Tomogr. 2012 Nov-Dec;6(6):429-30.
  27. Yoon A, Shaqra H, Levin M, Rudin B, Bella JN. Accessory tricuspid valve leaflet in an asymptomatic adult. Tex Heart Inst J. 2008;35(3):327-8.
  28. Yetkin E, Turhan H, Atak R, Senen K, Cehreli S. Accessory mitral valve tissue manifesting cerebrovascular thromboembolic event in a 34-year-old woman. Int J Cardiol. 2003 Jun;89(2-3):309-11.
  29. Turhan H, Yetkin E. A potential source of cardioembolic cerebrovascular event: accessory mitral valve tissue. Int J Cardiol. 2009 Apr 3;133(2):e57.

Conflict of interest. The authors declare no conflict of interest.
Financing. The study had no sponsorship.
Contribution. Article was prepared with equal participation of the authors. 
Article received: 01.08.2022. Accepted for publication: 28.08.2022

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