Successful transcatheter aortic valve replacement for bicuspid aortic valve

Ann Thorac Cardiovasc Surg. 2014:20 Suppl:705-8. doi: 10.5761/atcs.cr.12.02182. Epub 2013 Aug 30.

Abstract

Transcatheter aortic valve replacement (TAVR) for patients with a bicuspid aortic valve (BAV) is challenging as the extent and location of valve calcification as well as bulky leaflets and an enlarged root may increase the risk of transcatheter heart valve (THV) displacement, distortion, or malfunctioning. We report successful TAVR for an 84-year-old man with a BAV. The THV was implanted closer to the aorta than usual to avoid spreading of the bulky leaflets over the THV outflow. Following implantation, there was trivial paravalvular leakage, with no distortion or malfunction detected.

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • Aortic Valve / abnormalities*
  • Aortic Valve / diagnostic imaging
  • Aortic Valve / surgery
  • Aortic Valve Stenosis / diagnostic imaging
  • Aortic Valve Stenosis / surgery*
  • Bicuspid Aortic Valve Disease
  • Echocardiography, Transesophageal
  • Fluoroscopy
  • Heart Valve Diseases / diagnostic imaging
  • Heart Valve Diseases / surgery*
  • Humans
  • Male
  • Transcatheter Aortic Valve Replacement*