Assessment and management of a 1.77-cm2 mitral leaflet perforation as a subclinical cause of mitral regurgitation

Clin Case Rep. 2018 Aug 22;6(10):1961-1965. doi: 10.1002/ccr3.1722. eCollection 2018 Oct.


Anterior mitral valve perforations are commonly due to underlying infective endocarditis, which can lead to significant mitral valve insufficiency. In these cases, clinicians should have a high index of suspicion for infective endocarditis. After appropriate imaging, immediate surgical intervention is unequivocally the choice of management here for optimal patient outcomes.

Keywords: 2D echocardiography; anterior mitral leaflet; atrial fibrillation; color doppler; dukes criteria; infective endocarditis; mitral regurgitation; transesophageal echocardiogram.

Publication types

  • Case Reports