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You are here: Contents > 2015 > Volume 24 Number 6 November 2015 > AORTIC VALVE DISEASE > TAVI and Bicuspid Aortic Valve: Check the Inter-Commissural Space!

TAVI and Bicuspid Aortic Valve: Check the Inter-Commissural Space!

Takahide Arai1, Thierry Lefèvre1, Mauro Romano2

1Department of Interventional Cardiology, Institut Cardiovasculaire Paris Sud, Massy, 2Department of Cardiovascular Surgery and Transcatheter Heart and Vascular Therapies, Institut Cardiovasculaire Paris Sud, Massy, France

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.

The Journal of Heart Valve Disease 2015;24:689-692


TAVI and Bicuspid Aortic Valve: Check the Inter-Commissural Space!

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