3-Dimensional CT Planning for TAVR With a Novel Self-Expandable Valve in a Calcified Anatomy

Martin Geyer; Alexander R Tamm; Thomas Münzel; Hendrik Treede; Ralph Stephan von Bardeleben

doi:10.1016/j.jaccas.2023.102116

3-Dimensional CT Planning for TAVR With a Novel Self-Expandable Valve in a Calcified Anatomy

JACC Case Rep. 2023 Nov 9:28:102116. doi: 10.1016/j.jaccas.2023.102116. eCollection 2023 Dec 20.

Authors

Martin Geyer¹, Alexander R Tamm¹, Thomas Münzel¹, Hendrik Treede², Ralph Stephan von Bardeleben¹

Affiliations

¹ Department of Cardiology, Cardiology I, University Medical Center Mainz of the Johannes Gutenberg-University Mainz, Mainz, Germany.
² Department for Cardiac and Vascular Surgery, University Medical Center Mainz of the Johannes Gutenberg-University Mainz, Mainz, Germany.

Abstract

Recently, a novel transfemoral self-expandable valve (JenaValve Trilogy) was granted a CE mark as a dedicated device for transfemoral treatment of both aortic valve stenosis and regurgitation. Here, we highlight the importance of 3-dimensional preprocedural planning for the optimal choice of a prosthesis in challenging anatomies by reporting an unusual case of a heavily calcified aortic sinus.

Keywords: JenaValve; aortic stenosis; multidisciplinary heart team; noninvasive imaging; transcatheter aortic valve replacement.