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Figure 6: Attempted systemic atrioventricular valve crossing with Accura balloon: The Accura balloon could not be negotiated across the stenotic valve, despite repeated attempts. (Dotted line illustrates the intended direction of balloon passage. The balloon is entering the left atrial appendage)

Figure 6: Attempted systemic atrioventricular valve crossing with Accura balloon: The Accura balloon could not be negotiated across the stenotic valve, despite repeated attempts. (Dotted line illustrates the intended direction of balloon passage. The balloon is entering the left atrial appendage)