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For the first time, we report a patient who had progressive aortic regurgitation due to non-coronary leaflet perforation after robotic mitral valve repair and required aortic valve repair 18 months after this initial surgery. As in our case, aortic regurgitation after mitral valve surgery may remain undiagnosed on intraoperative transesophageal echocardiography or undetected until the patient\u2019s discharge due to gradual enlargement of very small perforations over the postoperative course.<\/jats:p>","DOI":"10.1186\/s13019-024-02753-4","type":"journal-article","created":{"date-parts":[[2024,6,12]],"date-time":"2024-06-12T06:01:47Z","timestamp":1718172107000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Iatrogenic non-coronary leaflet perforation as a complication after robotic mitral valve repair"],"prefix":"10.1186","volume":"19","author":[{"given":"Afksendiyos","family":"Kalangos","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yilmaz","family":"Zorman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emel Celiker","family":"G\u00fcler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nataliia","family":"Shatelen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,6,12]]},"reference":[{"key":"2753_CR1","doi-asserted-by":"publisher","first-page":"243","DOI":"10.1590\/S0066-782X1997001000004","volume":"69","author":"JS Cavalcanti","year":"1997","unstructured":"Cavalcanti JS, Oliviera Ede L, Godoi ET, de Santos LP. 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