Cardiovascular Revascularization Medicine
ClinicalEdwards SAPIEN 3 Transcatheter Heart Valve Implantation in a Native Bicuspid Aortic Regurgitation
Section snippets
Case
A 71-year-old lady with a background of Turners syndrome had been followed up for a bicuspid aortic valve (Type 0 Sievers Classification [5]) with mild aortic regurgitation (AR). However, she was lost to follow up and presented to hospital 7 years later with acute pulmonary oedema requiring intubation and mechanical ventilation. Computed tomography imaging revealed large bilateral pleural effusions and evidence of pulmonary congestion. Her electrocardiogram demonstrated sinus tachycardia with
Discussion
TAVR in Bicupsid aortic valves is technically far more challenging given the concomitant aortopathy and the increased risk aortic injury [[6], [7], [8]]. Evidence of TAVR in the native pure aortic regurgitation is limited to registry data [[6], [7], [8], [9]]. A recent meta-analysis [9] of 638 individuals suggested higher device success and lower mortality with second generation valves. The majority of cases performed in these registries were with self-expanding valves. A TAVR specifically
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Cited by (1)
Transcatheter aortic valve implantation using the SAPIEN 3 valve to treat aortic regurgitation: The French multicentre S3AR study
2023, Archives of Cardiovascular Diseases