Single stage transcatheter mitral valve in valve implantation and paravalvular leak closure following failure of bioprosthetic valve and cardiogenic shock

The simultaneous occurrence of structural degeneration of a bioprosthetic mitral valve with a paravalvular leak is extremely unusual and results in cardiac failure. Management of such a clinical scenario is challenging. We report a case of concomitant transcatheter mitral valve in valve implantation and paravalvular leak closure in an elderly frail patient with degenerated mitral bio prosthesis and paravalvular leak.