Fettouhi H, Amri R, Tamdy A, Zarzour J, Cherti M
Service de cardiologie "B", hôpital Ibn Sina, Rabat, Maroc.
Ann Cardiol Angeiol (Paris). 2010 Aug;59(4):243-6. doi: 10.1016/j.ancard.2010.05.002. Epub 2010 Jun 15.
Subaortic stenosis was considered for a long time as a congenital anomaly, but it is considered now as an acquired form of obstacle to the left ventricle ejection. It constitutes 8 to 20% of the causes of obstacle left ventricle. Ventricular septal defect and aortic coarctation are the most frequent anomalies associated with the subaortic stenosis. The anomalies of mitral valve and especially muscularization of the anterior mitral valve leaflet remain very rare and underestimated. The diagnosis is made by the echocardiography and must be systematically looked for because its misunderstanding in preoperative can be at the origin of recurrences. We report in this work two cases of muscularization of the anterior mitral valve leaflet associated to subaortic stenosis. Through these cases and through a review of the literature, we are going to put the point on this rare anomaly.
