Fig. 3

Panel A Pre-procedural images of computed tomography (CT) angiography with tridimensional reconstruction of aortic valve showed a bicuspid aortic valve (Type 1, L–R by Sievert Classification) with partially calcific raphe. The red dotted line reproduces the profile of the aortic valve orifice with evident protrusion of raphe (yellow arrow). Panel B Intraprocedural photographic image of infolded Evolut R THV with large invagination of the frame (yellow arrow) that exactly reproduces the aortic valve orifice profile as evidenced by CT (see Panel A)