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. Author manuscript; available in PMC: 2017 Jun 12.
Published in final edited form as: Proc SPIE Int Soc Opt Eng. 2016 Apr 5;9789:978908. doi: 10.1117/12.2216952

Figure 7.

Figure 7

The apex of the left ventricle being punctured with a needle (A). A stiff guidewire fed across the mitral orifice and anchored in the left atrium (B). The dilator-sheath combo being fed over the guidewire to allow access into the left atrium (C). With the dilator removed, the crimped valve is fed into the ventricle within the sheath lumen (D). The 23 mm balloon-expandable SAPIEN XT valve being placed implanted into the mitral orifice (E). The guidewire and sheath are retracted and the ventricle apex is sown closed, leaving the implanted valve behind (F).