Successful Transcatheter Aortic Valve Replacement for Bicuspid Aortic Valve

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.