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Updated: Aug 29, 2026

An Image Guided Transapical Mitral Valve Leaflet Puncture Model of Controlled Volume Overload from Mitral Regurgitation in the Rat
Published on: May 19, 2020
Mitral perforation: a rare cause of congenital mitral regurgitation
Funda Oztunç1, Irfan Levent Saltik, Halil Türkoğlu
1Istanbul University, Cerrahpaşa Medical Faculty, Department of Pediatrics, Division of Pediatric Cardiology, Aksaray, Istanbul, Turkey. foztunc@yahoo.com
Abstract:
In a 4-year-old boy with severe mitral regurgitation, cross sectional echocardiography combined with Doppler interrogation confirmed the presence of isolated perforation of the aortic leaflet of the mitral valve. The perforation was closed with a patch of fresh autologous pericardium. Serial echocardiograms taken postoperatively showed no regurgitation across the mitral valve.
Insights
A rare isolated perforation of the aortic leaflet of the mitral valve in a child was successfully repaired using autologous pericardium. Post-operative echocardiography confirmed complete resolution of mitral regurgitation.
Area of Science:
- Cardiology
- Pediatric Cardiac Surgery
- Echocardiography
Background:
- Severe mitral regurgitation in pediatric patients presents significant management challenges.
- Isolated aortic leaflet perforation of the mitral valve is an uncommon cardiac anomaly.
Observation:
- A 4-year-old boy presented with severe mitral regurgitation.
- Cross-sectional echocardiography with Doppler interrogation identified an isolated perforation of the aortic leaflet of the mitral valve.
Findings:
- The mitral valve perforation was surgically closed using a pericardial patch.
- Postoperative serial echocardiograms demonstrated no residual mitral regurgitation.
Implications:
- This case highlights the successful surgical management of a rare congenital heart defect.
- Autologous pericardium serves as an effective graft material for mitral valve leaflet repair in children.
- Echocardiography is crucial for diagnosis and post-operative monitoring of mitral valve pathologies.
Related Concept Videos
Mitral Regurgitation I: Introduction
Mitral Valve Prolapse I: Introduction
Mitral Stenosis I: Introduction
Mitral Regurgitation II: Clinical Features and Diagnostic Tests
Mitral Regurgitation III: Medical Management
Esophageal Perforation-I: Introduction
The location of esophageal perforation can vary, occurring anywhere along the esophagus.
