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Figure 1: (a) Preoperative trans-esophageal echocardiogram (TEE) showing mitral regurgitation through a4-mm hole in the posterolateral leaflet. (b) Preoperative TEE revealing a perforation in the posterior leaflet of the mitral valve

Figure 1: (a) Preoperative trans-esophageal echocardiogram (TEE) showing mitral regurgitation through a4-mm hole in the posterolateral leaflet. (b) Preoperative TEE revealing a perforation in the posterior leaflet of the mitral valve