title: [Transesophageal echocardiography diagnosis of perforation of the mitral valve secondary to infective endocarditis].
abstract: We report on a patient with infective endocarditis and severe mitral regurgitation secondary to perforation in the base of the posterior mitral leaflet. Transthoracic echocardiography was inconclusive. Only transesophageal echocardiography could confirm the presence of vegetations, their characteristics and the existence of valvular perforation. We also review the literature on the contribution of transesophageal echocardiography to the diagnosis of infective endocarditis and its complications.
authors.affiliation: Servicio de Cardiología, Hospital Universitario La Fe, Valencia.
authors.forename: V
authors.initials: V
authors.lastname: Mora Llabata
authors.forename: A
authors.initials: A
authors.lastname: Salvador Sanz
authors.forename: L
authors.initials: L
authors.lastname: Martínez Dolz
authors.forename: V
authors.initials: V
authors.lastname: Miró Palau
authors.forename: L
authors.initials: L
authors.lastname: Almenar Bonet
authors.forename: J F
authors.initials: JF
authors.lastname: Sotillo Martí
authors.forename: F J
authors.initials: FJ
authors.lastname: Algarra Vidal
mesh_terms: D000328:Adult; D004452:Echocardiography / Q000379:methods; D004697:Endocarditis, Bacterial / Q000150:complications*; D004947:Esophagus; D006349:Heart Valve Diseases / Q000000981:diagnostic imaging / Q000209:etiology; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000000981:diagnostic imaging*; D012422:Rupture, Spontaneous; D013290:Streptococcal Infections / Q000150:complications*