Transcatheter Aortic Valve Replacement for Bicuspid Aortic Insufficiency After Valve-Sparing Aortic Root Replacement

Ofir Koren; Vivek Patel; Danon Kaewkes; Keita Koseki; Tarun Chakravarty; Mamoo Nakamura; Cheng Wen; Robert Naami; Raj R Makkar

doi:10.1016/j.jaccas.2021.07.018

Transcatheter Aortic Valve Replacement for Bicuspid Aortic Insufficiency After Valve-Sparing Aortic Root Replacement

JACC Case Rep. 2021 Dec 1;3(17):1798-1802. doi: 10.1016/j.jaccas.2021.07.018.

Authors

Ofir Koren^{1

2}, Vivek Patel¹, Danon Kaewkes^{1

3}, Keita Koseki^{1

4}, Tarun Chakravarty¹, Mamoo Nakamura¹, Cheng Wen¹, Robert Naami¹, Raj R Makkar¹

Affiliations

¹ Cedars-Sinai Medical Center, Smidt Heart Institute, Los Angeles, California, USA.
² Bruce Rappaport Faculty of Medicine, Technion Israel Institute of Technology, Haifa, Israel.
³ Department of Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
⁴ Department of Cardiology, The University of Tokyo Hospital, Tokyo, Japan.

Abstract

Bicuspid aortic insufficiency (BAI) patients with root aneurysm often require aortic valve and root replacement in a composite procedure. The valve-sparing root replacement (VSARR) procedure is aimed at preserving the native valve when possible. This case highlights a successful transcatheter aortic valve replacement procedure in a BAI patient previously treated with VSARR. (Level of Difficulty: Intermediate.).

Keywords: AI, aortic insufficiency; BAI, bicuspid aortic insufficiency; BAV, bicuspid aortic valve; David procedure; EOA, effective orifice area; LVOT, left ventricular outflow tract; SOV, sinus of Valsalva; TAVR, transcatheter aortic valve replacement; THV, transcatheter heart valve; TTE, transthoracic echocardiography; VSARR, valve-sparing aortic root replacement; aortic aneurysm; aortic valve insufficiency; bicuspid aortic valve disease; transcatheter aortic valve replacement; valve-sparing aortic replacement.

Publication types

Case Reports