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

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.