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Tricky scenarios for positioning SAPIEN 3/Ultra in BAV
| Scenario | Potential result |
|---|---|
| Heavy localized calcification in the annulus/LVOT | Foreshortening in the LVOT may not occur as expected, and the position may end up too low |
| Heavy calcification above the annulus | Position can end up too high |
| Annulus bigger than 683 mm2 | Migration embolization in the LVOT |
BAV bicuspid aortic valve, LVOT left ventricular outflow tract
