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a Department of Cardiac Surgery, Heart Center, University of Leipzig, Leipzig, Germany
b Department of Cardiology, Heart Center, University of Leipzig, Leipzig, Germany
* Address correspondence to Dr Walther, Universität Leipzig, Herzzentrum, Klinik für Herzchirurgie, Strümpellstr. 39, Leipzig, 04289, Germany (Email: walt@medizin.uni-leipzig.de).
| The first 20% of the full text of this article appears below. |
Transapical aortic valve implantation (AVI) has been successfully introduced into clinical practice in high-risk patients. Direct antegrade AVI is being performed under rapid ventricular pacing (RVP) using a minimally invasive off-pump technique. Optimal imaging of the aortic root is critical during transapical AVI to facilitate exact sizing of the aortic annulus and to avoid obstruction of the coronary arteries.
Contemporary angiography systems allow intraoperative rotational angiography enabling three-dimensional
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