3-Dimensional Images of Mitral Annulus Perforation

Abstract

In this clinical vignette, we describe a case of a patient with windsock-like posterior mitral annulus perforation at the site of annular calcification caused by infective endocarditis. Three-dimensional transesophageal images of the perforation resembling an “alien’s mouth” are very striking for how 3-dimensional imaging can improve visualization of anatomy of the heart. (Level of Difficulty: Intermediate.)

Keywords

• echocardiography
• endocarditis
• mitral valve
• three-dimensional imaging