Surgery is recommended for endocarditis complicated by annular abscess or destruction of the native valve. Guidelines also recommend valvular repair over replacement for endocarditis when feasible. Guidance on management of early repair failure is not well described. (Level of Difficulty: Intermediate.).
Keywords: LV, left ventricle; MR, mitral regurgitation; MRI, magnetic resonance imaging; MV, mitral valve; endocarditis; lupus; mitral valve repair.