Use of the Lotus Transcatheter Valve to Treat Severe Native Aortic Regurgitation Smriti Saraf, MD, Muhammed Zeeshan Khawaja, MD, Roland Hilling-Smith,

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Use of the Lotus Transcatheter Valve to Treat Severe Native Aortic Regurgitation Smriti Saraf, MD, Muhammed Zeeshan Khawaja, MD, Roland Hilling-Smith, MD, Maureen Dooley, MD, James Cockburn, MD, Uday Trivedi, MD, David Hildick-Smith, MD The Annals of Thoracic Surgery Volume 103, Issue 4, Pages e305-e307 (April 2017) DOI: 10.1016/j.athoracsur.2016.09.017 Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) Transthoracic echocardiogram demonstrating severe aortic regurgitation (AR) in 5-chamber view. (B) Sinotubular junction was 3.2 cm, aortic root was 2.4 cm, sinus of Valsalva was 3.4 cm. (C) Computed tomographic image of aortic root at sinus of Valsalva level. (D) Final images demonstrating a well-seated Lotus valve. The Annals of Thoracic Surgery 2017 103, e305-e307DOI: (10.1016/j.athoracsur.2016.09.017) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A) Transthoracic echocardiographic image demonstrating severe aortic regurgitation (AR). (B) Computed tomographic image of aortic root at sinus of Valsalva level. (C) Low deployment of the Lotus valve. (D) Final images demonstrating a well-seated Lotus valve. The Annals of Thoracic Surgery 2017 103, e305-e307DOI: (10.1016/j.athoracsur.2016.09.017) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 (A) Three-dimensional echocardiogram demonstrating vegetation on aortic valve (AV). (B) Transesophageal echocardiogram demonstrating severe aortic regurgitation (AR). (C) The Lotus valve. (D) Final image demonstrating a well-seated Lotus valve. The Annals of Thoracic Surgery 2017 103, e305-e307DOI: (10.1016/j.athoracsur.2016.09.017) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions