Transcatheter Aortic Valve Replacement for Left Ventricular Assist Device–Related Aortic Regurgitation: The Michigan Medicine Experience

•Transcatheter aortic valve replacement for the off-label treatment of left ventricular assist device–related aortic regurgitation is technically challenging.•Patients with left ventricular assist devices are at a particularly high risk of device migration during transcatheter aortic valve replacement.•Meticulous preprocedure planning is critical to facilitate technical success.•Transcatheter aortic valve replacement resulted in clinical improvement in carefully selected patients with left ventricular assist devices.