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Percutaneous Aortic Valve Implantation in Bicuspid Aortic Valve: A Case Report



Kassaian SE1 ; Fallahi F2 ; Shirzad M3 ; Sahebjam M4 ; Salarifar M4
Authors
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Authors Affiliations
  1. 1. Tehran Heart Center, Department of Interventional Cardiology, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Department of Cardiology, Mostafa Khomaini Hospital, Shahed University, Tehran, Iran
  3. 3. Tehran Heart Center, Department of Cardiac Surgery, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Tehran Heart Center, Department of Echocardiography, Tehran University of Medical Sciences, Tehran, Iran

Source: ARYA Atherosclerosis Published:2015

Abstract

BACKGROUND: Transcatheter aortic valve implantation (TAVI) was known as an alternative technique for treatment of severe aortic stenosis (AS). This technique is controversial in bicuspid aortic valve (BAV). Here, we report TAVI for severe AS in a BAV setting in a patient with serious lung disease. CASE REPORT: A 68-year-old woman with a history of coronary artery bypass graft, BAV and severe AS, asthma, who had repeatedly denied any suggestion for open heart surgery, was our volunteer candidate for TAVI. The peak and mean pressure gradient decreased from 53 and 43 mm Hg to 13and 6 mm Hg respectively. CONCLUSION: TAVI could be a viable option for highly selected patients with AS and BAV who have a prohibitive risk for open heart surgery. © 2015, Isfahan University of Medical Sciences(IUMS). All rights reserved.