Figure 7.

Patient-specific computer simulation in a patient at high risk for conduction disturbance. (a) A patient with pre-existing RBBB (b) had a finite element model of their aortic root created. (c) Finite element analysis and (d) conduction disturbance modeling is performed, demonstrating a low risk of conduction disturbance (CPI 1%, CPMax 0.05 MPa). (e) Deployment of a THV at this implantation depth (f) did not result in any new conduction disturbance.

Abbreviations: CPI, contact pressure index; CPMax, maximum contact pressure; RBBB, right bundle branch block; THV, transcatheter heart valve.