PMC9792843_01
(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 .
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F1
The left ventricular outflow tract was calculated with 609 mm2 (Figure 1A). Aorto-mitral angle was steep with 67  (Figure 1B).
(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.
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F2
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).
Three-dimensional transesophageal echocardiography reconstruction showing the mitral transcatheter heart valve.
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F3
Three-dimensional transesophageal echocardiography showed a good shape of the mitral transcatheter heart valve (Figure 3).