Transcatheter Aortic Valve Replacement to Treat Left Ventricular Outflow Tract Obstruction and Significant Paravalvular Leak Following Transcatheter Mitral Valve Replacement

•PVL after TMVR with a Tendyne device can result in severe intravascular hemolysis.•SAM of the mitral valve can cause anterior PVL following Tendyne TMVR.•TAVR can relieve LVOT obstruction caused by SAM after Tendyne TMVR.•Pre-, peri-, and postprocedural imaging is key in decision...