TAVR-CT in a patient that underwent direct aortic access. (A) 3D images from TeraRecon software demonstrating ascending aorta and aortic arch demonstrating appropriate landing zone above saphenous vein graft; (B) TAVR-CT images demonstrating calcified ostial stenosis of right brachiocephalic (a), left common carotid (b), and left axillary (c); (C) TAVR-CT demonstrating left axillary artery (arrow) with ostial stent. Left axillary artery was of borderline MLD and avoided given a patent LIMA to the left anterior descending artery. TAVR, transcatheter aortic valve replacement; MLD, minimum lumen diameter; CT, computed tomography.