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Updated: Apr 3, 2026
Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
Percutaneous aortic valve implantation in bicuspid aortic valve: A case report
Seyed Ebrahim Kassaian1, Faramarz Fallahi2, Mahmood Shirzad3
1Tehran Heart Center AND Department of Interventional Cardiology, Tehran University of Medical Sciences, Tehran, Iran.
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.
