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(A) Preprocedural AV continuous wave Doppler with high maximum velocity, (B) preprocedural MSCT showing BAV with partially fused L-R raphe and significant AV calcifications, (C) annulus measurement showing large annulus with large annular calcific nodule, (D) LVOT profile view (no calcification) and ICD 4–5 mm above the annulus = 35 mm, (E) Myval-XL 32 mm deployment, (F) preprocedural ECG, and (G) postprocedural ECG without changes.
