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Transcatheter Aortic Valve Replacement in Congenital Heart Disease

Betemariam Sharew1,2, Beka Bakhtadze1,2, Thomas Das1,2

  • 1Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Ohio, USA.

JACC. Case Reports
|February 21, 2024
PubMed

Insights

Transcatheter aortic valve replacement is feasible and safe for congenital heart disease patients. This procedure offers a valuable option for lifelong management and as a bridge to recovery or further interventions.

Area of Science:

  • Cardiology
  • Congenital Heart Disease
  • Interventional Cardiology

Background:

  • Transcatheter aortic valve replacement (TAVR) is not a standard treatment for congenital aortic valve disease.
  • Congenital heart disease (CHD) presents unique challenges for aortic valve management.

Observation:

  • This study details a single-center experience with TAVR in patients diagnosed with congenital heart disease.
  • The focus is on evaluating the short-term outcomes and applicability of TAVR in this specific population.

Findings:

  • Transcatheter aortic valve replacement demonstrated short-term feasibility and safety in patients with congenital heart disease.
  • TAVR plays a potential role in the lifelong care of congenital aortic valve disease.
  • The procedure can serve as a bridge to recovery, future surgical interventions, or heart transplantation.

Implications:

  • TAVR may expand treatment options for adults with congenital heart disease and aortic valve issues.
  • This approach could improve long-term outcomes and quality of life for CHD patients.
  • Further research is warranted to establish TAVR's long-term efficacy in this population.

Keywords:
aortic regurgitationaortic stenosiscongenital heart diseasetranscatheter aortic valve replacementvalve-in-valve implantation

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