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Early Basal Cuspal Tear of a Porcine Bioprosthetic Mitral Valve Causing Massive Mitral Regurgitation. 2020

Muhammed Tamim, and Christos Alexiou, and Yaser AlKadi, and Mohsen S Mahmoud, and Fatema Qaddoura
Cardiac Surgery Department, King Fahd Military Medical Complex, Dhahran 31932, Saudi Arabia.

Although porcine mitral bioprostheses provide predictably good long-term outcomes, unexpected leaflet tears leading to abrupt haemodynamic changes may occur. Here, we report on a patient who was presented with acute dyspnea due to a cuspal tear of a porcine bioprosthetic mitral valve causing severe mitral regurgitation. Her condition was subsequently complicated by a systemic infection, probably pneumonia, and was successfully managed with an urgent redo-mitral valve replacement.

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