CONCLUSION
Even though graft infection rates are very low, they carry a high risk of morbidity and mortality due to the surgical nature of the procedure and risk of infection. This case report highlights that a streamlined and strong interdisciplinary approach can minimize the risk of intra and post-operative death in high-risk patients. Additionally, this report further strengthens the existing data on importance of Valve in Valve TAVR for moderate to extremely high-risk patients and enumerates the importance of considering and implementing a hybrid approach for patients with high morality risks in the field of cardiovascular medicine as it offers the best available combination of treatments.