Transfemoral transcatheter aortic valve implantation in the presence of mitral and tricuspid prostheses.

ital, T tal, Te c aort A 53-year-old woman presented to our center with progressive fatigue and dyspnea on exertion (New York Heart Association functional class III). The patient’s medical history was significant for multiple cardiac interventions: open mitral commissurotomy for the treatment of rheumatic mitral stenosis 30 years earlier, mitral valve replacement for the treatment of severe mitral regurgitation at age 25 years, and tricuspid valve implantation for the treatment of rheumatic tricuspid valve regurgitation and stenosis 5 years earlier. She had also