HSIAO-LIANG CHENGYA-JUNG CHENGLai, C.-H.C.-H.Lai2018-09-102018-09-102012http://www.scopus.com/inward/record.url?eid=2-s2.0-84856803193&partnerID=MN8TOARShttp://scholars.lib.ntu.edu.tw/handle/123456789/368868With its unique en face view, real time three-dimensional transesophageal echocardiography has been reported to be more precise than conventional two-dimensional studies in evaluating mitral regurgitation etiology, and can locate diseased segments correctly. We present a case with severe mitral regurgitation due to anterior mitral leaflet perforation. Intraoperative real time three-dimensional transesophageal echocardiography demonstrated its value in diagnosis and surgical planning for this perforation, which had not been identified preoperatively. This technique should be applied more widely for dedicated mitral valve assessment in clinical practice. ? 2012 Via Medica.Endocarditis; Mitral regurgitation; Mitral valve; RT-3D TEE[SDGs]SDG3antibiotic agent; adult; article; bacterial endocarditis; case report; dyspnea; fever; human; intraoperative period; leg edema; male; mitral annuloplasty; mitral valve disease; mitral valve perforation; mitral valve prolapse; mitral valve regurgitation; perforation; real time echography; Streptococcus parasanguinis; three dimensional echocardiography; transesophageal echocardiography; transthoracic echocardiography; Echocardiography, Three-Dimensional; Echocardiography, Transesophageal; Endocarditis; Humans; Male; Middle Aged; Mitral Valve; Mitral Valve Annuloplasty; Mitral Valve Insufficiency; Pericardium; Predictive Value of Tests; Severity of Illness Index; Streptococcus; Treatment Outcomejournal article10.5603/CJ.2012.0015