Double transcatheter balloon-expandable valve implantation for severe valve dysfunction in high-risk patients: initial experience.

Objectives: Concomitant valvular heart valve disease is a frequent finding, with higher morbidity and mortality among patients undergoing redo surgical procedures. Our goal was to report our initial experience with combined transcatheter Inovare bioprosthesis implants for severe valve dysfunction.

Methods: Among 300 transcatheter procedures, a total of 6 patients had concurrent simultaneous transcatheter bioprosthesis implants for severe mitral bioprosthesis failure (valve-in-valve), with a second valve procedure that included native aortic (n = 2) or degenerated bioprostheses in the aortic position (n = 4).

Vaginal osseous metaplasia.

Background: Osseous metaplasia is an unusual event in the gynecologic organs. It has been reported mostly in the endometrium and rarely in the cervix.

Case: The authors describe a rare case of bone formation in vaginal mucosa of a 52-year-old woman with chronic pelvic pain and exteriorization of bone from vaginal introit.