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An Image Guided Transapical Mitral Valve Leaflet Puncture Model of Controlled Volume Overload from Mitral Regurgitation in the Rat
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Perforated posterior mitral valve leaflet in mitral annular disjunction and infective endocarditis

Ran Xiao1, Talha Niaz2, Tam T Doan1

  • 1Department of Pediatrics, The Lillie Frank Abercrombie Division of Cardiology, Texas Children's Hospital, Baylor College of Medicine, Houston, TX, USA.

Cardiology in the Young
|July 24, 2023
PubMed

Insights

A rare case of methicillin-sensitive Staphylococcus aureus endocarditis in a young female revealed mitral annular disjunction and a perforated mitral valve leaflet. Surgical repair was successful, highlighting a unique presentation of this cardiac condition.

Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Infectious Diseases

Background:

  • Mitral valve prolapse and Staphylococcus aureus endocarditis are known cardiac conditions.
  • Mitral annular disjunction is a rare echocardiographic finding, often associated with mitral valve pathology.

Observation:

  • A 17-year-old female presented with methicillin-sensitive Staphylococcus aureus endocarditis.
  • Echocardiography revealed mitral annular disjunction and a perforated posterior mitral valve leaflet (P1-P2 segment).

Findings:

  • Surgical intervention confirmed the posterior mitral leaflet perforation.
  • The perforated leaflet was successfully repaired during surgery.

Implications:

  • This case highlights a rare association between mitral annular disjunction and infectious endocarditis with leaflet perforation.
  • Early diagnosis and surgical management are crucial for favorable outcomes in such rare cardiac presentations.
Keywords:
3-D echocardiographyMitral annular disjunctioninfective endocarditismitral valve perforation

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