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![Transcatheter aortic valve implantation combined with other heart interventions: current status and future perspectives](https://image.oaes.cc/9a5e25dc-882f-4788-8d0f-c543d9066b35/3492.fig.4.jpg)
Figure 4. Transcatheter aortic valve implantation concomitant with patent foramen ovale closure in a 70-year-old female patient with severe symptomatic aortic stenosis (the first 2 images) and patent foramen ovale with atrial septal aneurysm. The patient had a previous history of stroke and Heyde syndrome (induced Von Willebrand disease, lower gastrointestinal bleeding, and anemia). A transfemoral 26-mm balloon-expandable Edwards SAPIEN 3 valve was implanted, followed by patent foramen ovale closure using a 30-mm patent foramen ovale occluder