Percutaneous Closure of a Native Mitral Valve Perforation

was positioned in the mitral valve perforation, with an optimal outcome (Figure, B). A few days after the procedure, a real-time 3-dimensional transesophageal echocardiography study was carried out, which provided precise images of the status of the occluding device in the anterior mitral leaflet (Figure, C). Some residual central mitral regurgitation was detected, but there was no regurgitation through the occluded perforation (Figure, D). The patient’s clinical course following this procedure was excellent, and at the time of writing, she is asymptomatic.