Transcatheter aortic valve implantation after transcatheter mitral valve implantation

Figure 1. Planning and execution of transcatheter aortic valve implantation. A) Preprocedural CT scan illustrating a protrusion of the CardiAQ prosthesis into the LVOT. B) Preprocedural simulated implantation of Evolut prosthesis (FEops, Belgium). C) Intraprocedural fluoroscopic view with partial deployment of the prosthesis. D) Post-procedural CT scan analysis using 3mensio software (Pie Medical Imaging, Maastricht, the Netherlands) showing the final position of the two prostheses.

A patient was admitted with dyspnoea after prior transcatheter mitral valve implantation (TMVI) (CardiAQ; Edwards Lifesciences, Irvine, CA, USA)1. Echocardiography showed a good result after TMVI but revealed a low-flow low-gradient aortic valve ...