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Archives of cardiovascular diseases
Volume 102, n° 8-9
pages 667-668 (août 2009)
Doi : 10.1016/j.acvd.2009.05.008
Received : 15 April 2009 ;  accepted : 5 May 2009
Mitral valve repair in acute extensive infectious endocarditis
Réparation de la valve mitrale dans l’endocardite infectieuse aiguë étendue

Figure 1

Figure 1 : 

Panel A. Transoesophageal echocardiography showing mobile masses on both mitral valve leaflets, compatible with vegetations (white arrows). Panel B. Prolapse of the posterior and anterior mitral valve leaflets near the anterolateral commissure with likely perforation of the two leaflets, leading to severe mitral regurgitation. Panel C. Real-time transoesophageal three-dimensional echocardiography showing mitral valve prolapse located to the paracommissural parts of both leaflets (A1 and P1), with large vegetations attached close to the commissure (white and black arrows, respectively). Panel D. Enormous vegetation (arrow) located at the level of the anterolateral commissure extending to A1 and P1.

AL: anterior leaflet; ALC: anterolateral commissure; PL: posterior leaflet; PMC: posteromedial commissure.

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