Conclusions
As demonstrated in our patient, ICE was able to exclude the diagnosis of
AI. Compared with TTE and TEE, ICE provides superior imaging quality of
the aortic annulus and does not require general anesthesia. Furthermore,
ICE has the potential to supplement traditional TTE methods in the
evaluation of suspected AI in the setting of a LVAD and, in our case,
help avoid unnecessary procedures such as a valvular
intervention.