Combined balloon mitral valvuloplasty and transfemoral TAVR is a feasible transcatheter management strategy for selected high surgical-risk patients with rheumatic multivalvular disease.
May offer alternative to surgery in high-risk rheumatic multivalvular disease; hypothesis-generating for larger transcatheter trials.
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.
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kumar et al. (2026) studied this question.
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