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. 2018 Jul 19;5:91. doi: 10.3389/fcvm.2018.00091

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Copyright © 2018 Das and Puri.

This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

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Transcatheter aortic valve replacement in bicuspid aortic valve. (A) Sievers Type 1 bicuspid valve with partial raphe between the right and left cusps. Large annulus with perimeter measuring 98.1 mm and an intercommisural distance of 28.9 mm. (B) “Hockey puck” view of the bicuspid valve shows partial raphe between left and cusps. (C) Balloon valvuloplasty with 25 mm balloon for sizing prior to TAVI implantation. Yellow arrow shows leak of contrast into left ventricle during simultaneous aortogram indicating inadequate seal. (D) 34 mm Evolute R deployed at leaflet tips with no paravalvular leak.