An unusual anterior mitral leaflet perforation in a patient with no infective endocarditis: a case report

Mitral valve perforation refers to the occurrence of cracks or openings in the structure of the mitral valve, allowing blood to escape through these gaps. Typically, this is caused by infective endocarditis and the most common site is the anterior leaflet. However, it is crucial to explore other potential causes of valve damage, particularly when conventional risk factors are not apparent. We present a case of a middle-aged male patient who developed mitral valve perforation because of aortic valve regurgitation in the absence of infective endocarditis. Exploring such rare cases contributes to a deeper understanding of valvular diseases and enhances clinical decision making for effective management.