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Ann Thorac Surg 2001;72:255-257
© 2001 The Society of Thoracic Surgeons
Accepted for publication June 3, 2000.
Address reprint requests to Dr Jones, Department of Cardiac Surgery, Royal Victoria Hospital, Grosvenor Rd, Belfast BT12 6BA, Northern Ireland
e-mail: mark{at}jmarkjones.freeserve.co.uk
We present a case of acute endocarditis involving the posteromedial commissure and both leaflets of the mitral valve, including a vegetation on and perforation of the anterior leaflet, in a young man with active Crohns disease. Repair was performed using glutaraldehyde-treated bovine pericardium. Competence of the valve was achieved with no recurrence of endocarditis. This case demonstrates that extensive destruction of both leaflets of the mitral valve does not prohibit repair.
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