Massive TAVR

Figures

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  Figure 1. Abdominal-Pelvic Computed Tomography Scan Computed tomography scan illustrating the large adnexal mass.

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  Figure 2. Aortoventricular Fluoroscopy Aortoventricular angle of 62°.

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  Figure 3. Axial and 3-Dimensional Imaging of Aortic Valve Axial and 3-dimensional virtual rendering demonstrating bicuspid valve with heavy leaflet calcification.

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  Figure 4. Computed Tomography 3-Dimenstional Volume Rendering of Ileofemoral System Computed tomography 3-dimensional volume rendering of ileofemoral system demonstrating excellent vascular access.

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  Figure 5. Pelvic Angiogram Pelvic angiogram demonstrating poor fluoroscopic visualization.

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  Figure 6. Second Valve Crossing The contralateral pigtail was forced into the left ventricle over a Meier wire to provide a second crossing over which a valvuloplasty could be performed.

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  Figure 7. Valvuloplasty Using 10 x 40 mm Peripheral Balloon Valvuloplasty using 10 × 40 mm peripheral balloon via second crossing.

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  Figure 8. Deployment of Transcatheter Heart Valve Successful deployment of a 23-mm SAPIEN 3 transcatheter heart valve.