Abstract
An 84-year-old man with a Shelhigh Super Stentless valve presented for valve-in-valve (ViV) transcatheter aortic valve replacement (TAVR). Given the lack of radiopaque markers and the presence of a non-coronary cusp (NCC) pseudoaneurysm, implant depth was guided by root aortography at the time of balloon aortic valvuloplasty (BAV) using a pigtail in the right coronary cusp (RCC).
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