case_images: PMC9792843_01
case_images: (A) Calculation of left ventricular outflow tract with an area of 609.2 mm2. (B) CT depicting a steep aorto-mitral annulus angle with 67 .
case_images: fcvm-09-1086457-g001.jpg
case_images: PMC9792843_01_fcvm-09-1086457-g001.jpg
case_images: F1
case_images: The left ventricular outflow tract was calculated with 609 mm2 (Figure 1A). Aorto-mitral angle was steep with 67  (Figure 1B).
case_images: (A) The annulus of the Medtronic Mosaic aortic and mitral bioprosthesis was not visualized on fluoroscopy. (B) A total of 20 mm Atlas gold post-dilatation was used for post-dilatation in the aortic position. (C) Transcatheter bioprosthetic mitral valve implantation. (D) Final cardiac fluoroscopy showing both valves deployed and seated well.
case_images: fcvm-09-1086457-g002.jpg
case_images: PMC9792843_01_fcvm-09-1086457-g002.jpg
case_images: F2
case_images: The annulus of the Medtronic Mosaic aortic and mitral bioprosthesis was not visualized on fluoroscopy (Figure 2A). A total of 20 mm Atlas gold post-dilatation was used for post-dilatation in the aortic position (Figure 2B). The J-valve was reversely loaded on the delivery system (Figure 2C). A post-operative fluoroscopic image with both aortic and mitral VIV replacements in place was taken (Figure 2D).
case_images: Three-dimensional transesophageal echocardiography reconstruction showing the mitral transcatheter heart valve.
case_images: fcvm-09-1086457-g003.jpg
case_images: PMC9792843_01_fcvm-09-1086457-g003.jpg
case_images: F3
case_images: Three-dimensional transesophageal echocardiography showed a good shape of the mitral transcatheter heart valve (Figure 3).