2016	Stroke and detection of moderate–severe mitral stenosis (MS)
2017	Admission with acute pulmonary oedema with severe pulmonary hypertension and severe MS. Denied conventional mitral valve surgery based on comorbidities
2018–2019	Recurrent admissions with acute pulmonary oedema despite optimal medical therapy
September 2019	Heart team evaluation consensus for transcatheter mitral valve replacement, creation of a multi- detector computed tomography-derived 3D virtual model
October 2019	Percutaneous coronary intervention of the left anterior descending artery and left circumflex artery in work-up
October 2019	Transcatheter mitral valve replacement complicated by left ventricular outflow tract obstruction which required a percutaneous transluminal septal myocardial ablation
Procedure +5 days	Discharge to rehabilitation