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good morning and welcome from all around the world to structural heart Life Cases broadcasting directly from the card catherization laboratory of the mon sin Hospital in New York City my name is Pedro Moreno Iamp;#39;m an Interventional cardiologist Iamp;#39;ll be your moderator today we would love to hear from you this is a communal reunion so please send us all your questions either in the popm OR directly on our website and remember all these cases are can be seen in our website ccclife cases.org we have a fantastic case today so let me transfer you to Dr keny and Dr Sharma directly from the cat lab all right good morning uh Pedro and uh to viewers of our uh CCC live cases and particularly structure live cases today uh and uh we always try to show uh very interesting and the new case and actually I thought the thereamp;#39;s not much interest in the structural cases but we saw many of them we have 6 to 8,000 hits per month uh for as long as itamp;#39;s a new interesting case and