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Transcatheter aortic valve implantation for patient with non-calcified bicuspid aortic valve: a case report.


ABSTRACT:

Background

Non-calcified aortic stenosis (AS) is rare and is associated with a high risk of transcatheter valve embolization and migration (TVEM) because aortic valve complex calcification is important for stable anchoring of the prosthesis. Therefore, transcatheter aortic valve implantation (TAVI) for non-calcified AS is not preferred. However, a universally accepted strategy for TAVI in such patients is not yet established.

Case summary

A 69-year-old woman with symptomatic severe AS and a high surgical risk was admitted to our institution for TAVI. Pre-procedural computed tomography (CT) revealed a non-calcified bicuspid aortic valve. Implantation of a 23 mm self-expandable valve (SEV) was planned according to the manufacturer's recommended optimal size based on CT measure

SUBMITTER: Nonaka H 

PROVIDER: S-EPMC9933938 | biostudies-literature | 2023 Feb

REPOSITORIES: biostudies-literature