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Transatrial transcatheter mitral valve replacement with balloon-expandable aortic valve in a patient with mitral annular calcification. A, Modified SAPIEN 3 valve with a scalloped felt skirt. B, Intraoperative view of implanted and secured prosthesis with and without circumferential pledgeted suture reinforced with felt. AL , Anterolateral commissure; PM , posteromedial commissure.

Journal: JTCVS Techniques

Article Title: Outcomes of transatrial transcatheter mitral valve replacement with a balloon-expandable valve for severe mitral annular calcification

doi: 10.1016/j.xjtc.2026.102197

Figure Lengend Snippet: Transatrial transcatheter mitral valve replacement with balloon-expandable aortic valve in a patient with mitral annular calcification. A, Modified SAPIEN 3 valve with a scalloped felt skirt. B, Intraoperative view of implanted and secured prosthesis with and without circumferential pledgeted suture reinforced with felt. AL , Anterolateral commissure; PM , posteromedial commissure.

Article Snippet: A SAPIEN 3 transcatheter heart valve (Edwards Lifesciences) was implanted in 24 patients (96%), and 1 patient received a SAPIEN XT valve (4%).

Techniques: Modification