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. 2024 Sep 18;29(18):102558. doi: 10.1016/j.jaccas.2024.102558

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© 2024 The Authors

This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

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Procedural Steps on the 3-Dimensional-Printed Model

(A) Perforating the anterior mitral leaflet from the atrial side. (B) The eSheath (Edwards Lifesciences) from the ventricular view through the anterior leaflet after balloon dilation of the leaflet. (C) Positioning of the valve from the atrial view with the device advanced through the anterior leaflet. (D) The 29-mm SAPIEN 3 Ultra valve (Edwards Lifesciences) implanted in the mitral position with no leaflet obstructing the left ventricular outflow tract through the aorta.