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Going the extra mile: percutaneous transseptal valve-in-valve implantation and leak closure

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1. PORTUGAL; 2. Serviço de Cardiologia, Centro Hospitalar e Universitário de Coimbra – Pólo Hospital Geral, Coimbra, Portugal; 3. Serviço de Cardiologia, Centro Hospitalar e Universitário de Coimbra – Pólo Hospital Geral, Coimbra, Portugal; Faculdade de Medicina da Universidade de Coimbra, Coimbra, Portugal; 4. Serviço de Cardiologia, Centro Hospitalar e Universitário de Coimbra – Pólo Hospital Geral, Coimbra, Portugal; Faculdade de Medicina da Universidade de Coimbra, Coimbra, Portugal

Percutaneous mitral valve-in-valve (ViV) is an emergent option for patients with prosthetic dysfunction at high surgical risk1,2,3.

We present a case of a 69-year-old woman with heart failure and haemolytic anaemia due to severe mitral bioprosthesis insufficiency, with intraprosthetic and paraprosthetic regurgitation (one major leak point and two minor ones).

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