Çakal, BeytullahÇakal, SinemGüneş, Hacı MuratOmaygenç, Mehmet OnurYıldırım, Aydın2021-01-222021-01-222021Çakal, B., Çakal, S., Güneş, H. M., Omaygenç, M. O. ve Yıldırım, A. (2021). Failed transcatheter mitral valve-in-ring implantation followed by transapical valve-in-valve within the ring and ad hoc paravalvular leak closure. Anatolian Journal of Cardiology, 25(1), 50-53. https://dx.doi.org/10.14744/AnatolJCardiol.2020.591632149-22632149-2271https://dx.doi.org/10.14744/AnatolJCardiol.2020.59163https://hdl.handle.net/20.500.12511/6359There is a rapid emergence of transcatheter mitral valve-invalve (TMVIV) and valve-in-ring (TMVIR) techniques as an alternative to the conventional surgical valve replacement in ineligible patients requiring repeat surgery (1).The selection of a new transcatheter heart valve (THV) for degenerated surgical valves is relatively simple; however, the selection of valves for mitral rings is more nuanced because the rigidoval or D-shaped rings will not conform to the round shape of theprosthesis, thus posing a high risk of paravalvular leak (PVL).Although prior reports have described simultaneous TMVIVand percutaneous PVL closure techniques, our case report provides the first description of simultaneous transapical valve-invalve implantation and the closure of severe PVL after a failedtransseptal valve-in-ring procedure (2, 3).eninfo:eu-repo/semantics/openAccessHoc ParavalvularTranscatheter MitralImplantationArticle251505310.14744/AnatolJCardiol.2020.59163Q4Q3