Transcatheter aortic valve replacement in a patient with previous mechanical mitral valve

Abstract

Transcatheter aortic valve implantation (TAVI) in post-MVR (mitral valve replacement) patients is a technical challenge due to the respective proximity of the aortic annulus and non-compliant prosthetic mitral valve ring. There are only a few case reports in literature which have reported this procedure. We herein describe a case of TAVR in rheumatic heart disease patient having prosthetic mitral valve whose distance between aortic annulus to mitral rim was only 3.8mm.