TCTAP C-215 Two Birds with One Stone: Bioprosthetic Dysfunction Begets Bioprosthetic Dysfunction?

### Patient Initials or Identifier Number CCCJ ### Relevant Clinical History and Physical Exam A 76-year-old woman accepted aortic and mitral valve replacement (21 mm Trifecta and 27 mm Perimount respectively) for rheumatic heart disease 3 years ago. She presented with difficult weaning from