title: TAVI and Bicuspid Aortic Valve: Check the Inter-Commissural Space!
abstract: Transcatheter aortic valve implantation (TAVI) in cases of bicuspid aortic valve (BAV) with a large aortic annulus remains challenging and is rarely performed due to the risk of residual paravalvular aortic leakage. A SAPIEN 3 prosthesis was successfully implanted in two BAV patients each with a relatively large aortic annulus. The New SAPIEN 3 design, coupled with good sealing at the level of the inter-commissural space of the bicuspid valve, seems to account for the efficiency of TAVI for BAV with a large annulus.
authors.affiliation: Department of Interventional Cardiology, Institut Cardiovasculaire Paris Sud, Massy.
authors.forename: Takahide
authors.initials: T
authors.lastname: Arai
authors.affiliation: Department of Interventional Cardiology, Institut Cardiovasculaire Paris Sud, Massy.
authors.forename: Thierry
authors.initials: T
authors.lastname: Lefèvre
authors.affiliation: Department of Cardiovascular Surgery and Transcatheter Heart and Vascular Therapies, Institut Cardiovasculaire Paris Sud, Massy, France.
authors.forename: Mauro
authors.initials: M
authors.lastname: Romano