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Successful deployment of two overlapping 23 mm Edwards Lifesciences Sapien valves using a femoral artery-left ventricular (LV) apical rail for support. (A) Creation of a femoral artery-LV apical rail with the LV wire snared from the apex. (B) Predeployment positioning of the Sapien valve using the transfemoral delivery system. (C) Postdeployment angiogram after two Sapien valves have been deployed, with resolution of aortic insufficiency.
