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European Journal of Echocardiography 2008 9(1):103-104; doi:10.1016/j.euje.2007.03.045
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2007. For permissions please email: journals.permissions@oxfordjournals.org.

Severe mitral regurgitation due to perforation of the mitral anterior leaflet

Ilias Karabinos*, Anastasios Papadopoulos and Pavlos Toutouzas

Euroclinic of Athens, Athens, Greece

Received 23 February 2007; accepted after revision 24 March 2007; online publish-ahead-of-print 9 July 2007.

* Corresponding author. Tel: +30 2106416330. E-mail address: iliaskk{at}in.gr.


  Abstract

We present a case of a 75-year-old male with a worsening dyspnea during the last month. Transthoracic echocardiography revealed a severe mitral regurgitation. Transesophageal echocardiography was evident of a 6 mm defect of the mitral anterior leaflet at the region of the anteromedial A1 and medial A2 scallops probably due to perforation, which caused a significant regurgitant jet as documented by the presence of a convergence flow over the ‘hole’. As the patient had a prolonged fever of undetermined origin one and a half months ago, perforation of the mitral anterior leaflet must at least be considered to be of an infective origin.

Keywords: Mitral valve; Regurgitation; Endocarditis; Perforation; Transesophageal echocardiography


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