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Aortic Valve Closure with Septal Occluder

Imaging findings

Chest radiographs and fluoroscopy show a double-disc atrial septal occluder device (Gore Cardioform) deployed off-label in the aortic valve position in a patient with a left ventricular assist device (LVAD) and severe aortic insufficiency.

Key takeaways

Severe aortic insufficiency is a known complication of long-term LVAD therapy. Off-label transcatheter deployment of an atrial septal occluder device can be used to occlude the aortic valve and reduce regurgitation.

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