Perivalvular extension of native mitral valve infective endocarditis with annular fistula and preserved valve function.

Perivalvular extension is a rare but severe complication mainly of aortic and prosthetic valve infective endocarditis (IE). In mitral IE, the extension is usually located posteriorly or laterally to the annulus. This case enlightens the value of multimodality imaging in this context. A 23-year-old male with no medical history presented an inaugural acute …