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Five patients with the left-sided or intermediate type (Lev) of the Taussig-Bing anomaly were found to have an associated straddling of the mitral valve. In four patients the anomaly of the mitral valve was not recognized preoperatively, and all four died postoperatively. The persistent subpulmonic obstruction caused by the abnormal attachment of the anterior mitral leaflet is considered a significant factor in the poor operative outcome. Retrospective study of angiograms in these four patients revealed diagnostic clues of straddling mitral valve which enabled us to diagnose a fifth patient angiographically and confirm the diagnosis by cross-sectional echocardiography. A surgical approach to correct this association of abnormalities is proposed which avoids operating upon the mitral valve. Its function is thereby preserved, yet the hemodynamic problem caused by the straddling is bypassed. The fifth patient in this series was successfully treated by the proposed operative method.
A J Muster, and
S Bharati, and
K U Aziz, and
F S Idriss, and
M H Paul, and
M Lev, and
I Carr, and
A DeBoer, and
C Anagnostopoulos
April 1985,
[Zasshi] [Journal]. Nihon Kyobu Geka Gakkai,
A J Muster, and
S Bharati, and
K U Aziz, and
F S Idriss, and
M H Paul, and
M Lev, and
I Carr, and
A DeBoer, and
C Anagnostopoulos
April 1974,
Circulation,
A J Muster, and
S Bharati, and
K U Aziz, and
F S Idriss, and
M H Paul, and
M Lev, and
I Carr, and
A DeBoer, and
C Anagnostopoulos
April 1985,
Nihon Igaku Hoshasen Gakkai zasshi. Nippon acta radiologica,
A J Muster, and
S Bharati, and
K U Aziz, and
F S Idriss, and
M H Paul, and
M Lev, and
I Carr, and
A DeBoer, and
C Anagnostopoulos
January 2014,
Mymensingh medical journal : MMJ,
A J Muster, and
S Bharati, and
K U Aziz, and
F S Idriss, and
M H Paul, and
M Lev, and
I Carr, and
A DeBoer, and
C Anagnostopoulos
April 1993,
The Journal of thoracic and cardiovascular surgery,
A J Muster, and
S Bharati, and
K U Aziz, and
F S Idriss, and
M H Paul, and
M Lev, and
I Carr, and
A DeBoer, and
C Anagnostopoulos
October 1973,
Nihon rinsho. Japanese journal of clinical medicine,
A J Muster, and
S Bharati, and
K U Aziz, and
F S Idriss, and
M H Paul, and
M Lev, and
I Carr, and
A DeBoer, and
C Anagnostopoulos
September 1984,
The Journal of thoracic and cardiovascular surgery,
A J Muster, and
S Bharati, and
K U Aziz, and
F S Idriss, and
M H Paul, and
M Lev, and
I Carr, and
A DeBoer, and
C Anagnostopoulos
November 2013,
European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery,
A J Muster, and
S Bharati, and
K U Aziz, and
F S Idriss, and
M H Paul, and
M Lev, and
I Carr, and
A DeBoer, and
C Anagnostopoulos
July 2015,
The Annals of thoracic surgery,
A J Muster, and
S Bharati, and
K U Aziz, and
F S Idriss, and
M H Paul, and
M Lev, and
I Carr, and
A DeBoer, and
C Anagnostopoulos
October 2008,
Asian cardiovascular & thoracic annals,
