case_images: PMC11371709_01
case_images: Patient timeline.
case_images: fcvm-11-1431639-g001.jpg
case_images: PMC11371709_01_fcvm-11-1431639-g001.jpg
case_images: F1
case_images: The left ventricular ejection fraction (LVEF) was preserved with significant concentric hypertrophy (LV mass of 172 g/m2 and septal thickness of 15 mm) (Supplementary Figure 1A). TMVR. Transesophageal echocardiography (TEE) revealed a degenerated aortic bioprosthesis with mild-to-moderate regurgitation and a degenerative MR with evidence of chordal rupture, severe MR, severe MAC, and an aortic-mitral angle (AMA) of 135  (Supplementary Figure 1B). ASA showed a LVOT gradient of 12 mmHg (Supplementary Figure 3). At present, 6 months after the procedure, the patient presents NYHA functional class II, without signs of HF and with no further hospital admissions (Figure 1).