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Revista chilena de cardiología

On-line version ISSN 0718-8560


VEGA, Julián et al. Mitral leaflet perforation repair after healed endocarditis, advantage of three-diminesional echocardiography. Rev Chil Cardiol [online]. 2016, vol.35, n.2, pp.163-168. ISSN 0718-8560.

An 18 year-old man presented with shortness of breath and a remote history of a septic arthritis of the knee. Physical examination revealed a holosystolic mitral valve murmur. Transthoracic echocardiography showed a severe mitral regurgitation originating from de anterior mitral valve leaflet, but the exact mechanism was unclear. Transesophageal echocardiography (EPIQ 7v, Philips) suggested a perforation of the medial scallop of the anterior mitral valve leaflet (A2). 3-D trans esophageal echocardiography confirmed a 6x6 mm perforation at the A2 sector of the anterior leaflet. 3-D echo was also very helpful in guiding the surgical repair of this lesion, using a pericardial patch and rigid mitral valve ring.

Keywords : endocarditis; valvular mitral regurgitation; echocardiography; three dimensional; mitral valve repair.

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