An unusual anterior mitral leaflet perforation in a patient with no infective endocarditis: a case report

Abstract

Background: Mitral valve perforation refers to the occurrence of cracks or openings in the structure of the mitral valve, allowing blood to escape through these gaps. Typically, this is caused by infective endocarditis and the most common site is the anterior leaflet. However, it is crucial to explore other potential causes of valve damage, particularly when conventional risk factors are not apparent.

Case presentation: We present a case of a middle-aged male patient who developed mitral valve perforation because of aortic valve regurgitation in the absence of infective endocarditis.

Conclusion: Exploring such rare cases contributes to a deeper understanding of valvular diseases and enhances clinical decision making for effective management.

Keywords

Anterior mitral leaflet / Aortic valve / Case report / Perforation / Prolapse / Regurgitation

Conflict of interest statement

The authors declare no conflict of interest.

Author contributions

All authors listed have made substantial, direct, and intellectual contributions to the work and approved it for publication.

Funding

None.

Ethical approval of studies and informed consent

The study followed the principles of the Declaration of Helsinki as revised in 2013. This study was approved by the Ethics Committee of Qilu Hospital of Shandong University, and written informed consent was obtained from the patient (KYLL-2023-09-030, September 27, 2023). This article has the consent of the patient for the use of his data and for the publication of the data that appear in the article.

Acknowledgments

None.

References

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