12 Sep 2025
Expanding horizons with balloon-expandable TAVI - LIVE Case
Balloon-expandable TAVI in complex access and bicuspid valve patient
Summary
A 76-year-old male with a history of abdominal and iliac stent grafts (2022), severe COPD, prostate cancer, and gastric ulcer presented with symptomatic severe aortic stenosis. CT and echocardiography showed a calcified bicuspid aortic valve with preserved LV function.
A 24.5 mm Myval valve was implanted without predilatation via the right femoral artery, with secondary right radial access. Closure was performed using one ProGlide device.
LIVE Educational Case from ICBA Instituto Cardiovascular de Buenos Aires - Buenos Aires, Argentina
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Key moments
- 05:06–09:10 - CT analysis
- 33:35–35:33 - valve deployment
- 44:55–47:18 - control angio
- 47:41–50:09 - closure access
Keywords: Aortic stenosis, bicuspid aortic valve, myval, closure access
Supported by an unrestricted educational grant from Meril Life
Learning Objectives
- To align with the present and the future of TAVI by exploring the Myval balloon-expandable transcatheter heart valve platform
- To learn from expert operators through a LIVE case demonstration, including imaging strategy, valve sizing, and procedural decision-making
- To review tips, tricks, and technical pearls for optimal implantation and post-procedural management