Intrepid Transcatheter Mitral Valve Replacement in a Surgically High-Risk Patient with Previous Mechanical Aortic Valve Replacement

Abstract

A 79-year-old female with mixed rheumatic mitral valve disease characterised by severe mitral regurgitation (MR) and moderate mitral stenosis, and a previous mechanical aortic valve replacement was referred for transcatheter mitral valve replacement (TMVR) following an aborted redo sternotomy due to porcelain aorta. Her STS score was 4.28% and EuroSCORE II was 12.75% for mitral valve repair.