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Successful transfemoral aortic valve replacement in a bicuspid aortic stenotic valve: Requirements for a safe implant
Author(s) -
Maluenda Gabriel,
Araya Mario,
IbañezArenas Rodrigo
Publication year - 2013
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.24976
Subject(s) - bicuspid aortic valve , medicine , stenosis , valve replacement , bicuspid valve , implant , cardiology , aortic valve stenosis , aortic valve , surgery
Although transcatheter aortic valve replacement (TAVR) has been accepted as an attractive alternative for high‐risk patients with severe symptomatic aortic stenosis (AS), patients with congenital bicuspid AS has been typically disqualified for this indication due to an implied risk of device dislocation, distortion, or device malfunctioning. Nonetheless, bicuspid AS is not uncommon and frequently missed by transthoracic echocardiography. We reported an interesting case of a high‐risk patient with severe symptomatic bicuspid AS who underwent successful TAVR and discussed the anatomic requirements for a safe implant in patients with bicuspid AS considered candidates for TAVR. © 2013 Wiley Periodicals, Inc.