An implantable medical device adapted to be implanted at an implantation site may be capable of being implanted in more than one rotational orientation at the implantation site. The implantable medical device includes an expandable body that is adapted to expand from a collapsed configuration for delivery to an expanded configuration for deployment, and a radiopaque indicator that is disposed relative to the expandable body. The radiopaque indicator is adapted to be have a first appearance if viewed in a first rotational orientation and a second, different appearance if viewed in a second rotational orientation that is different from the first rotational orientation. As an example, the implantable medical device may be a catheter-delivered replacement aortic valve.