This is an echocardiography case presentation of a perforated mitral valve. Perforation was caused by endocarditis of the aortic valve, which led to a jet lesion and endocarditis of the anterior mitral valve leaflet (AMVL). This was followed by mitral valve perforation. If you have the suspicion of a perforated mitral valve, always check for a history of endocarditis.
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