Related Experiment Video
Updated: May 16, 2026

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
Right coronary cusp perforation after mitral valve replacement
Mohammed I Al Yamani1, Jean-Marc Frapier, Pascal D Battistella
1Department of Thoracic and Cardiovascular Surgery, Arnaud de Villeneuve Hospital, CHRU Montpellier, Montpellier, France.
Abstract:
Secondary to leaflet injury, which is a well-known technical mistake, aortic regurgitation can occur during mitral valve replacement or repair. In most cases, the left or the non-coronary cusps are affected. For the first time, we report the case of a patient who had severe aortic regurgitation due to right coronary cusp perforation after mitral valve replacement. This complication was not identified until reoperation. Had transoesophageal echocardiography (TOE) been used during the first procedure, a delayed reoperation could have been avoided. During mitral surgery, every aortic cusp is at risk and peroperative TOE should be a mandatory procedure.
Related Concept Videos
Mitral Regurgitation I: Introduction
Cardiac Catheterization II: Right Heart Catheterization
Mitral Stenosis III: Medical Management
Mitral Valve Prolapse I: Introduction
Mitral Stenosis I: Introduction
Mitral Valve Prolapse II: Assessment and Management

