Mitral Bioprosthetic Valve Fracture: Bailout Procedure for Undersized Bioprosthesis During Mitral Valve-in-Valve Procedure With Paravalvular Leak Closure

A 76-year-old obese man (body mass index 30.8 kg/m2, body surface area 2.35 m2) with a history of mitral valve replacement and coronary artery bypass grafting was admitted to our hospital with decompensated heart failure. The patient underwent surgical mitral valve replacement with a 25-mm Mosaic