Hybrid Approach to Post-Radiation Valve Disease: Robotic Mitral Valve Replacement Alongside Transcatheter Aortic Valve Replacement.

A 63-year-old woman with history of mediastinal radiation was admitted for decompensated heart failure due to severe post-radiation aortic and mitral valve disease. To reduce cardiopulmonary bypass time and postoperative pulmonary complications, she underwent a hybrid approach with robotic mitral valve replacement and transcatheter aortic valve replacement.