Mitral Anterior Leaflet Perforation Due to Jet Flow in Aortic Valve Insufficiency

Mitral valve disease is one of the most common pathologies of heart valve diseases. Mitral regurgitation may develop due to pathologies in the valve apparatus (primary regurgitation) or due to pathologies related to the atrium and/or ventricle (secondary regurgitation). Treatment options include medical, transcatheter, and surgical approaches, depending on the course of the disease. In this study, we present a patient with perforation in the mitral anterior leaflet secondary to aortic valve regurgitation. Mid-aortic regurgitation (jet flow directed toward the mitral anterior) was observed on echocardiography. It was interesting that the perforation in the mitral anterior leaflet developed secondary to aortic valve regurgitation. Aortic valve replacement and mitral valve repair were performed. The successful surgery and images of the case are wanted to be shared.