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Embolization of the anterior leaflet of the mitral valve.

A young woman presented to our hospital in florid pulmonary edema and with the stigmata of acute bacterial endocarditis. Murmurs of mitral regurgitation and aortic regurgitation were present. While on antibiotic therapy, the patient developed signs and symptoms of left femoral artery occlusion. Pathologic examination revealed that the specimen removed at embolectomy contained tissue from the mitral valve. Prompt surgical intervention with mitral valve replacement was required in attempting to correct the hemodynamic derangements.