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Updated: May 7, 2026

A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair
Published on: October 16, 2021
Concomitant Transcatheter Aortic and Mitral Valve Replacement
Julio Echarte-Morales1, Berenice Caneiro-Queija1, Manuel Barreiro-Pérez1
1Department of Cardiology, Hospital Álvaro Cunqueiro, Complexo Hospitalario Universitario de Vigo (CHUVI), Sergas, Vigo, Spain; Cardiovascular Research Group, Department of Cardiology, University Hospital Alvaro Cunqueiro, Galicia Sur Health Research Institute (IIS Galicia Sur), SERGAS-UVIGO, Servizo Galego de Saude, University of Vigo, Vigo, Spain.
Background:
Multivalvular heart disease is a highly prevalent condition that causes significant morbidity and mortality.
Case Summary:
A 75-year-old man presented with worsening functional class and asthenia. A transthoracic echocardiogram showed severe aortic stenosis and severe mitral stenosis. The patient underwent transcatheter aortic and mitral valve replacement in the same procedure.
Discussion:
There is a lack of solid evidence regarding the management of multivalvular disease. Severe mitral stenosis can influence aortic stenosis, potentially leading to a low-flow, low-gradient profile. Establishing a streamlined workflow between transesophageal echo and cardiac tomography optimizes procedural safety, efficiency, and outcomes in patients with concomitant mitral and aortic disease.
Take-Home Messages:
This case highlights the relevance of multimodality imaging for procedural planning in complex multivalvular disease. Concomitant transcatheter implantation of transcatheter aortic valve replacement for aortic stenosis followed by a transcatheter mitral valve replacement in mitral stenosis is a feasible option for patients at high surgical risk.
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