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Basal cuspal tear of a porcine bioprosthetic mitral valve causing massive mitral regurgitation
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  • Muhammed Tamim,
  • CHRISTOS ALEXIOU,
  • Yaser AlKady,
  • Mohsen Mahmoud,
  • Fatima Qaddoura
Muhammed Tamim
King Fahd Military Medical Complex
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CHRISTOS ALEXIOU
King Fahd Military Medical Complex
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Yaser AlKady
King Fahd Military Medical Complex
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Mohsen Mahmoud
King Fahd Military Medical Complex
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Fatima Qaddoura
King Fahd Military Medical Complex
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Abstract

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