SAGE Open Medical Case Reports (Jul 2021)

Resolution of severe secondary mitral valve regurgitation following aortic valve replacement in infective endocarditis

  • Jan Oliver Friess,
  • Thomas Bruelisauer,
  • Samuel Hurni,
  • Miralem Pasic,
  • Gabor Erdoes,
  • Balthasar Eberle

DOI
https://doi.org/10.1177/2050313X211034377
Journal volume & issue
Vol. 9

Abstract

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We present the case of a patient with infective endocarditis anesthetized for replacement of severely regurgitant aortic valve. Intraoperative transesophageal echocardiography revealed a new diagnosis of severe secondary mitral regurgitation. After aortic valve replacement and tricuspid valve repair, severe mitral regurgitation resolved rapidly without any intervention. In multivalvular disease, instant spontaneous resolution of secondary mitral regurgitation is possible after surgical correction of an aortic regurgitation causing left ventricular volume overload.