A 74-year-old male was planned to receive transcatheter aortic valve replacement (TAVR) for symptomatic severe aortic valve stenosis. He had type-I functional bicuspid aortic valve (AV) and severe calcification at 3 cusps. Perimeter at annulus was 84.0-mm. Pre-procedural balloon valvuloplasty (BVP) using 23-mm diameter Z-med (B. Braun Medical Inc., Allentown, PA, USA) was done, followed by 34-mm Evolut R (Medtronic, Minneapolis, MN, USA) implantation without recapture. However, serial fluoroscopy revealed vertical line on valve strut, and it was infolding distortion of Evolut R (Figure 1). Infolding distortion persistently remained despite post-procedural BVP using 23-mm Z-med. Patient was hemodynamically stable with mild paravalvular leakage (PVL). Serial echocardiography after 1 day post-TAVR also showed valve distortion with mild PVL (Figure 2). The valve distortion remained on computed tomography after 5 months (Figure 3, Supplementary Videos 1 and 2). Because patient's hemodynamics was not too bad (peak AV velocity was decreased from 5.06 to 3.13 m/s, and mean pressure gradient was decreased from 60.8 to 20.9 mmHg; from initial to 5 months, respectively), we treated him medically.