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Anterior mitral valve perforation in the absence of acute infection: Diagnosis by two‐dimensional and three‐dimensional transesophageal echocardiography
Author(s) -
Mashicharan Mary,
Cowburn Peter J.,
Livesey Steven A.,
Shah Benoy N.
Publication year - 2017
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/echo.13734
Subject(s) - medicine , perforation , cardiology , mitral regurgitation , infective endocarditis , mitral valve , endocarditis , surgery , radiology , materials science , punching , metallurgy
Anterior mitral valve leaflet ( AMVL ) perforation is most commonly seen in the setting of infective endocarditis. We present a case of AMVL perforation in a previously healthy 62‐year‐old male who presented with a six‐month history of worsening dyspnea and peripheral edema. Blood cultures, inflammatory markers, and autoimmune profile were negative. Transthoracic echocardiography demonstrated severe mitral regurgitation ( MR ) with a possible AMVL perforation, which was confirmed by three‐dimensional transesophageal echocardiography as a well‐circumscribed hole in the A2 segment. The patient made a successful recovery from mitral valve repair surgery.