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. 2022 Nov 23;9:1045280. doi: 10.3389/fcvm.2022.1045280

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Copyright © 2022 Elkoumy, Terkelsen, Abdelshafy, Ellert-Gregersen, Elzomor, Thim, Serruys, Soliman and Nissen.

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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(A) Preprocedural AV CWD recording from Apical 5 chamber view, with high maximum velocity = 5.1 m/s, mean PG = 66 mmHg (B) inter commissural distance (4–5 mm) above the annular level = 35 mm, (C) AV significant calcification at the raphe level (D) annulus measurement showing small annular calcific nodule, and (E) illustration of the Myval design showing the dense (dark blue arrows), light bands (light blue arrows) and deployment within the annular plane (red dotted line) to obtain a proper position and implantation depth. (F) Implantation depth (G,H) pre and postprocedural ECG without changes. AV, Aortic valve, BAV, Bicuspid Aortic Valve, CCTA, Cardiac Computed Tomography, CWD, continuous wave Doppler, ECG, Electrocardiogram, PG, Pressure Gradient.