Conclusion 
This case highlights the utility of transcatheter techniques in addressing multivalvular pathology including pulmonary valve in valve intervention in patients with symptomatic pulmonary valve stenosis and TAVR for severe aortic stenosis who are not ideal surgical candidates. Techniques for safe and optimal valve implantation and achieving optimal hemodynamics are outlined along with implications for future intervention.
Author Disclosures
Dr. Stinis has served as a consultant and proctor for Edwards Lifesciences