fig4

Figure 4. Coronary angiogram of a 71-year-old male with a history of AVR and MVr complicated by sternal wound infection and closure with titanium plates and screws and pectoralis muscle flaps who presented with severe AS, severe MS, and CAD and was discussed by a Heart Team (Patient #3). A representative image demonstrates significant stenosis in the proximal RCA (yellow arrow), contrast in the ascending aorta, sternal plates and screws, and bioprosthetic aortic valve. AVR: Aortic valve replacement; MVr: mitral valve repair; AS: aortic stenosis; MS: mitral stenosis; CAD: coronary artery disease; RCA: right coronary artery.