Accessory mitral valve tissue is a rare cause of intracardiac mass and
subvalvular left ventricular outflow tract obstruction. The preoperat
ive diagnosis of this congenital anomaly has been facilitated by trans
thoracic two-dimensional and Doppler echocardiography. However, transt
horacic two-dimensional echocardiography cannot identify or correctly
diagnose all cases of accessory mitral valve tissue. We report a patie
nt in whom an intracardiac mass detected by transthoracic echocardiogr
aphy was definitively diagnosed as accessory mitral valve tissue by tr
ansesophageal echocardiography.