Looking for Optimal Implantation Height in Bicuspid Aortic Valve Patients Undergoing Transcatheter Aortic Valve Implantation: A Case Series

Cardiovasc Revasc Med. 2020 Nov;21(11S):25-27. doi: 10.1016/j.carrev.2020.01.019. Epub 2020 Jan 30.

Abstract

TAVR in bicuspid aortic valve (BAV) represents a challenging scenario. Valve sizing and positioning are the most important determinants of procedural success. In BAV the maximal prosthesis-anatomy interference occurs at the supra-annular level. Supra-annular prosthesis implantation may improve valve sealing and hemodynamic result. In this case series, we propose a new site for prosthesis implantation, guided CT scan supra-annular sizing for BAV undergoing TAVR.

Keywords: Bicuspid aortic valve; Implantation height; Transcatheter aortic valve replacement.

Publication types

  • Review

MeSH terms

  • Aortic Valve / surgery
  • Aortic Valve Stenosis* / surgery
  • Bicuspid Aortic Valve Disease*
  • Heart Valve Prosthesis*
  • Humans
  • Multidetector Computed Tomography
  • Prosthesis Design
  • Transcatheter Aortic Valve Replacement*
  • Treatment Outcome