The case is presented of a patient with a large mitral valve vegetation. A technique of mitral valve repair involving ringless annuloplasty repair following bileaflet resection of the infected regions of the valve is described. No pledgets or prosthetic material were used in the repair. The patient recovered uneventfully, with trivial mitral regurgitation documented on post-repair echocardiography. This technique may suggest a method for early intervention in mitral endocarditis.
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