Transcatheter aortic valve implantation after previous mechanical mitral valve replacement in a patient with coexistent rheumatic aortic stenosis and regurgitation

Transcatheter aortic valve implantation (TAVI) is a major method for treatment of high surgical risk patients with aortic stenosis (AS) or patients with AS in whom surgical valve replacement is contraindicated (1). Herein, we report a complicated case where a patient with rheumatic AS and aortic regurgitation (AI) underwent transfemoral TAVI after mechanical mitral valve (MMV) replacement