Double transcatheter valve-in-valve implantation for degenerated aortic and mitral bioprostheses.

Transcatheter valve-in-valve implantation for degenerated bioprostheses is an appealing alternative to reoperation in high-risk patients, and is technically feasible in both aortic and mitral positions. However, concurrent aortic and mitral transcatheter valve-in-valve procedures are seldom described. We aim to report our first case of double transapical valve-in-valve procedure for concomitant malfunction of aortic and mitral bioprostheses, in the same session.