Transcatheter aortic valve implantation for treatment of failing homograft with preexisting mechanical mitral prosthesis

Transcatheter aortic valve implantation is increasingly used to treat bioprosthetic degeneration. Valve‐in‐valve technique has been performed successfully to treat homograft, stentless, and stented bioprosthetic dysfunction. The presence of a prosthesis in the mitral position can make the transcatheter aortic valve implantation procedure challenging due to proximity of the mitral and aortic annuli. We describe the case of a 66‐year‐old who underwent the first successful implantation of Edwards Sapien device in a failing homograft in the presence of a mechanical mitral valve prosthesis. © 2013 Wiley Periodicals, Inc.