Abstract
Bicuspid aortic valve patients pose a challenge for TAVR procedure mainly due to the elliptical valve orifice that impedes device placement, the asymmetric calcifications that serve as a potential embolic source during device deployment, and co-existing enlargement of the ascending aortic root, which can lead to aortic aneurysm and dissection. Recently it seems that newer-generation valves might have outcomes similar to those seen in patients with tricuspid valves. We present a case of a low-risk surgical patient who denies surgery and has undergone a successful TAVR procedure.
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1 Electronic Supplementary Material
Doppler TEE before TAVR procedure (MP4 407 kb)
Pre procedural valve opening CT (MP4 4593 kb)
Balloon dilation before TAVR deployment (MP4 645 kb)
Valve deployment angio (MP4 1317 kb)
Post procedural valve opening CT (MP4 2559 kb)
Doppler TEE after TAVR procedure (MP4 415 kb)
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Koren, O., Naami, E., Patel, V. (2023). TAVR in Patients with Bicuspid Aortic Valve. In: Koren, O., Makkar, R., Patel, V., Kaewkes, D., Jilaihawi, H., Joseph, J. (eds) Complex Cases in Structural Heart Intervention. Springer, Cham. https://doi.org/10.1007/978-3-031-05965-0_2
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DOI: https://doi.org/10.1007/978-3-031-05965-0_2
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