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. Author manuscript; available in PMC: 2020 Jan 8.
Published in final edited form as: JACC Cardiovasc Interv. 2019 Jul 8;12(13):1197–1216. doi: 10.1016/j.jcin.2019.04.052

FIGURE 11. Laceration.

FIGURE 11

Laceration of 2 leaflets in sequence. (A) The kinked and denuded Astato (green arrow) across the right coronary cusp (RCC) is in a “flying V” configuration, with the adjoining Piggyback (white arrow). The Left coronary cusp (LCC) laceration system also is evident with a separate “flying V” (red arrow) and Piggyback (white arrow). (B) After RCC laceration, the transcatheter aortic vaLve repLacement guidewire (blue arrow) is positioned in the Left ventricLe, and then the LCC guidewire is electrified for laceration.