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Updated: Aug 12, 2025

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
Published on: May 26, 2023
Concomitant transcatheter transfemoral double native valve replacement for severe aortic stenosis and severe mitral
Navneet Mehta1, Abhinav Gupta1, Ravinder S Rao2
1Cardiac Anaesthesia, EHCC, Jaipur, Rajasthan, India.
Insights
Transcatheter aortic and mitral valve replacement is a viable option for patients with severe stenosis and complex calcification. This approach offers a successful alternative to traditional surgery for high-risk individuals.
Area of Science:
- Cardiology
- Interventional Cardiology
- Cardiac Surgery
Background:
- Concomitant severe aortic stenosis and mitral stenosis present significant surgical challenges.
- Mitral annular calcification and porcelain aorta increase operative risk for traditional valve replacement.
Observation:
- A 54-year-old male patient presented with severe aortic and mitral stenosis.
- The patient was deemed high-risk for conventional surgery due to extensive aortic and mitral annular calcification.
Findings:
- Successful transcatheter aortic valve replacement and transcatheter mitral valve replacement were performed in native valves.
- This represents a successful double native valve transcatheter intervention in a complex case.
Implications:
- Transcatheter valve replacement offers a minimally invasive solution for complex valve disease.
- This case expands the potential application of transcatheter interventions to high-risk patients with severe calcification.
Abstract:
Concomitant mitral and aortic valve stenosis in a patient with mitral annular calcification and porcelain aorta poses a unique problem to the surgical team. Transcatheter aortic and mitral valve replacements in native valves offer a viable option for such selected group of patients. We present the case of a 54-year-old male who presented with severe aortic stenosis (AS) and severe mitral stenosis (MS) but was deemed high risk for surgery owing to intense calcification of the aorta and mitral annular calcification, and successfully underwent transcatheter double native valve replacement.
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