30 Sep 2025
Step-by-step TAVI for mixed bicuspid aortic valve disease - LIVE Case
Operators:
A. Alenezi, Z. Almarzooq
Procedural Analyst:
A. Husain
Summary
A 65-year-old female with a history of diabetes and moderate left ventricular dysfunction (LVEF 50%) presented with symptomatic severe bicuspid aortic stenosis associated with moderate-to-severe aortic regurgitation. A 26 mm Sapien Resilia valve was implanted under local anesthesia via femoral artery access, with right radial secondary access and temporary pacing. Access closure was achieved using two ProGlide devices.
LIVE Educational Case from Chest Diseases Hospital - Kuwait City, Kuwait
Navigate the video by moving your mouse over the chapter icon in the toolbar
Key moments
- 05:20–10:23 – Imaging analysis
- 31:50–35:10 – Valve implantation
- 39:24–51:50 – Final echo, hemodynamic and angiography
Keywords: Sapien Resilia, Bicuspid aortic stenosis and regurgitation
Learning Objectives
- To learn how to differentiate between congenital vs. acquired bicuspid aortic valve disease based on multimodality imaging
- To understand the implications of bicuspid anatomy with regards to sizing and valve choice
