Challenging cases 2

5 challenging cases 1- Pregnant lady with high gradient across bioprosthetic aortic valves 2- Subtle AR etiology in TTE reveals by TEE 3- Rheumatic MS and MR with recurrent pulmonary edema 4- What 1 month can do to dysfunctional mechanical mitral valve 5- Only if everything else are normal can we say this is Patient-Prosthetic Mismatch