Echo-Navigator (EchoNav) is a fusion imaging technology that integrates live transesophageal echocardiogram (TEE) and overlays on real-time fluoroscopy. We present our experience placing a right ventricular (RV) support device, a ProtekDuo, in our patient with post-operative RV failure using EchoNav imaging to guide the implantation and confirm the geographical location of the device. EchoNav has shown many benefits over standard techniques whereby echo and fluoroscopic images are typically viewed and interpreted separately. For instance, it may reduce overall radiation used during the procedure and may improve efficiency by allowing for more accurate device placement, avoiding the need for prolonged fluoroscopic imaging. Furthermore, the integration of fusion imaging can also improve the education of trainees, helping facilitate skill development in advanced imaging techniques and improving procedural understanding over time.