title: Successful transfemoral aortic valve replacement in a bicuspid aortic stenotic valve: requirements for a safe implant.
abstract: 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.
authors.affiliation: Department of Cardiology, Clinica Alemana, Santiago, Chile; Department of Radiology, Clinica Alemana, Santiago, Chile.
authors.forename: Gabriel
authors.initials: G
authors.lastname: Maluenda
authors.forename: Mario
authors.initials: M
authors.lastname: Araya
authors.forename: Rodrigo
authors.initials: R
authors.lastname: Ibañez-Arenas
mesh_terms: D000369:Aged, 80 and over; D001021:Aortic Valve / Q000002:abnormalities* / Q000503:physiopathology; D001024:Aortic Valve Stenosis / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D001027:Aortography; D000082882:Bicuspid Aortic Valve Disease; D006328:Cardiac Catheterization / Q000295:instrumentation / Q000379:methods*; D018618:Echocardiography, Doppler, Color; D017548:Echocardiography, Transesophageal; D005260:Female; D005263:Femoral Artery; D006349:Heart Valve Diseases / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D061330:Multidetector Computed Tomography; D011474:Prosthesis Design; D012720:Severity of Illness Index; D016896:Treatment Outcome
keywords: aortic stenosis; bicuspid aortic valve; transcatheter valve replacement