Combined balloon mitral valvuloplasty and transfemoral TAVR is a feasible transcatheter management strategy for selected high surgical-risk patients with rheumatic multivalvular disease.
We present a case of combined balloon mitral valvuloplasty followed by transfemoral transcatheter aortic valve replacement in a high surgical-risk patient with rheumatic mitral and aortic stenosis. Careful anatomical assessment and procedural sequencing can enable safe transcatheter management in selected patients with rheumatic multivalvular disease.
kumar et al. (Sun,) studied this question.