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Introduction: Transcatheter aortic valve implantation (TAVI) can be challenging in case of complex anatomy such as bicuspid aortic valve stenosis or situs inversus. This report illustrates a successful procedure in a patient with both conditions after careful pre-operative planning and per-operative guidance by means of a novel software.

Case Presentation: We report the case of a 71-year-old man that presented a type 0 bicuspid aortic valve stenosis and situs inversus.

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