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

Paras Patel; Kevin Lee; Adedoyin Aderinto; Michael Benz; Antonios Tsompanidis

doi:10.1002/ccr3.1722

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.

Authors

Paras Patel¹, Kevin Lee^{1

2}, Adedoyin Aderinto¹, Michael Benz³, Antonios Tsompanidis⁴

Affiliations

¹ Rowan University School of Osteopathic Medicine Stratford New Jersey.
² Department of Anesthesiology The University of Toledo Medical Center Toledo Ohio.
³ Department of Cardiology, CarePoint Health Christ Hospital Jersey City New Jersey.
⁴ Family Medicine Residency Program, CarePoint Health Christ Hospital Jersey City New Jersey.

Abstract

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