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Updated: Feb 8, 2026

A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair
Published on: October 16, 2021
[Acute spontaneous failure of a Carpentier-Edwards porcine mitral valve]
Antonio Tota1, Carmine Carbone, Pasquale Caldarola
1U.O.C. di Cardiologia-UTIC, Ospedale M. Sarcone, Terlizzi (BA), Italy. totaantonio@libero.it
Abstract:
We describe the case of a 74-year-old patient with structural valve deterioration of a Carpentier-Edwards porcine mitral valve. He was referred to our institution for a murmur noted about 1 week before. Transthoracic echocardiography showed the presence of severe mitral regurgitation, without disclosing the mechanism of failure. A tear cusp was identified with transesophageal echocardiography that resulted in a lack of coaptation of the leaflets causing mitral insufficiency. The diagnosis was confirmed at surgery.
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