TAVI for bicuspid aortic stenosis patients - Recorded cases

Discover two clinical cases of optimising TAVI procedure in bicuspid aortic valve patients, taking into account the current sizing options in such anatomy.

• An 84-year-old woman with a history of LAD PCI in 2020, presented a symptomatic severe aortic stenosis and grade 3 regurgitation with a preserved LV function. The CT showed a bicuspid anatomy type 1 LR. The operators implanted an Evolut pro 26 mm, with a pre (20 mm) band post dilatation (23 mm) under sentinel protection.
• An 82-year-old male with type 2 diabetes, presented a symptomatic severe aortic stenosis on a large bicuspid anatomy type 1 LR. The operators implant a myvalve 32 after a pre-dilatation with a small balloon.

 
Navigate the video by moving your mouse over the chapter icon in the toolbar

Key moments

• 12:47-17:20 - CT analysis
• 27:20:28:20 - Puncture under echo and preclosing
• 28:25-29:55 - Valve crossing
• 32:50-36:56 - Predilatation (why and how)
• 40:00-45:08 - Deployment of the valve
• 45:12-48:45 - Post-dilatation (why and how)
• 01:19:47-01:22:08 - Valve deployment

Keywords: TAVI, bicuspid valve stenosis, Evolut pro, myvalve, sentinel, echo-guided puncture