Repair of anomalous mitral arcade in a child

Figures

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  Figure 1. Chest radiograph before mitral valve repair showing cardiomegaly, significant biatrial enlargement, and pulmonary venous hypertension

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  Figure 2. Electrocardiogram showing sinus rhythm, right axis deviation, biatrial abnormality, and right ventricular hypertrophy

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  Figure 3. Preoperative echocardiogram showing anomalous mitral arcade with direct attachment of papillary muscles to the mitral leaflets and an adequate left ventricular inflow orifice at the level of the mitral valve

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  Figure 4. Intraoperative photograph showing the direct attachment of the papillary muscles to the thickened posterior mitral valve leaflet (incised 2 mm from the annulus) with absent chordae