First case of transcatheter native mitral and aortic valve replacement

We describe the first case of transcatheter replacement of both aortic and mitral native valves in a 91-year-old female patient with severe symptomatic aortic stenosis and severe mitral stenosis. A CT scan confirmed circumferential mitral annular calcification (MAC). Via a transapical approach, a 23 mm SAPIEN XT valve (Edwards Lifesciences, Irvine, CA, USA) was successfully placed (Moving image 1). The mitral annulus measured 19×26 mm and a 29 mm SAPIEN XT valve was deployed within the MAC (arrow in Panel A, Moving image 2). Transoesophageal echo (TEE) confirmed good function of both valves, but the prosthetic mitral valve (red arrow) caused obstruction of ...