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Transcatheter Aortic Valve Replacement in Bicuspid Aortic Valve: A Case Report
P K Karmakar1, F Ahmed, A Momen
1Dr Pradip Kumar Karmakar, Associate Professor, Cardiology, National Institute of Cardiovascular Diseases (NICVD), Dhaka, Bangladesh;
Mymensingh Medical Journal : MMJ
|July 1, 2023
Summary
Transcatheter Aortic Valve Replacement (TAVR) offers a viable treatment for severe aortic stenosis in patients with bicuspid aortic valves. This case study demonstrates successful TAVR outcomes in a selected patient with complex anatomy.
Area of Science:
- Cardiology
- Interventional Cardiology
- Valvular Heart Disease
Background:
- Aortic stenosis (AS) is the most prevalent valvular heart disease in developed nations.
- Transcatheter Aortic Valve Replacement (TAVR) is a primary treatment for severe AS in high-risk patients.
- Bicuspid aortic valve (BAV) presents unique challenges for TAVR due to anatomical variations.
Observation:
- A 68-year-old female patient with severe AS, BAV, and comorbidities was evaluated for TAVR.
- The patient had previously refused open-heart surgery, making TAVR a suitable alternative.
- Procedural success was achieved with TAVR, despite the patient's complex BAV anatomy.
Findings:
- Pre-TAVR peak pressure gradient was 100mmHg, significantly reduced to 17mmHg post-procedure.
- The successful outcome suggests TAVR can be effective even with challenging BAV morphology.
- No periprocedural complications, such as stroke, were reported in this case.
Implications:
- TAVR is a potentially viable option for carefully selected patients with severe AS and BAV.
- Favorable patient anatomy is crucial for successful TAVR outcomes in BAV patients.
- Further research into TAVR for BAV patients with complex anatomy is warranted.
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