We describe a 70-year-old lady with rheumatic heart disease and a history of the mitral valve and tricuspid valve replacement, who underwent transcatheter aortic valve implantation and the tricuspid valve-in-valve procedure in a single session. K E Y W O R D S aorta, transcatheter valve implantation, transcatheter aortic valve implantation (TAVI), tricuspid, valve replacement, valve-in-valve (ViV)