Background:
Congenital abnormalities of mitral valve include mitral stenosis, double orifice mitral valve, mitral valve parachute, and mitral valve cleft.1 Accessory mitral valve () is a rare anomaly of mitral valve, which mostly results in left ventricular outflow tract (LVOT) obstruction.2-5 We present a case report regarding the without significant LVOT obstruction primarily misinterpreated as vegetation in an adult.