INTRODUCTION
Appropriate follow-up after surgical implantation of bioprostheses
ensures the timely detection of dysfunctional heart valves and their
replacement in a safe manner (1,2). Nonetheless, catastrophic structural
valve deterioration can occur (1-5) early or late postoperatively (6.7).
We describe the clinical presentation, management and outcome of a
patient who suffered cuspal tear of a bioprosthetic mitral valve four
years post valve
implantation, and discuss her case in context with the pre-existing
relevant literature.