Abstract
A 61-YEAR-OLD woman had a dental extraction and developed acute bacterial endocarditis. She had 8 weeks of conservative treatment, after which echocardiography revealed vegetations and severe regurgitation of the mitral valve, which required replacement. The operation proceeded uneventfully until removal of the aortic crossclamp and deairing. When spontaneous rhythm returned and the heart was filled, the movement of the mitral prosthesis illustrated in Figs 1 and 2 became apparent. What is the abnormality?
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