This picture was obtained in a 14-year-old girl referred for a systolic murmur. The patient was asymptomatic. The ECG was normal. Transthoracic echocardiography visualized, in the apical view, an accessory mitral valve tissue 15.8 cm long in the left ventricle. In diastole, the tissue resembled a cloverleaf. There was no obstruction.
The editor of Images in Cardiovascular Medicine is Hugh A. McAllister, Jr, MD, Chief, Department of Pathology, St Luke’s Episcopal Hospital and Texas Heart Institute, and Clinical Professor of Pathology, University of Texas Medical School and Baylor College of Medicine.
Circulation encourages readers to submit cardiovascular images to Dr Hugh A. McAllister, Jr, St Luke’s Episcopal Hospital and Texas Heart Institute, 6720 Bertner, MC1-267, Houston, TX 77030.
- Copyright © 1997 by American Heart Association