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A #JACCCaseReports case of a 72-year-old woman with rheumatic heart disease and 2 prior surgical mitral valve replacements presenting with NYHA III dyspnea and fever. The report demonstrates transhepatic access for transseptal mitral ViV in the setting of IVC interruption and highlights bleeding risk and hemostasis considerations with anticoagulation. https://bit.ly/4pLuAwm | JACC Journals
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