1. Preoperative real-time three-dimensional transesophageal echocardiography showed that the A1–2 and P1–2 segments of the mitral valve had been extensively destroyed.
  2. The schema of the infective mitral valve.
  3. Intraoperative finding of the infective mitral valve.
  4. Surgical procedure: A1–2/P1–2 reconstruction with autologous pericardium + four pairs of artificial chordae + mitral annuloplasty using a 28-mm Memo 3D ring
  5. Intraoperative finding of the newly reconstructed mitral valve.