Volume 32 Number 3 (2023)

Transcatheter Aortic Valve Replacement in Bicuspid Aortic Valve: A Case Report

Karmakar PK1 , Ahmed F2 , Momen A3 , Monwar M4 , Das PR5 , Ameen MH6 , Jannat S7 , Roy A8 , Uddin MJ9 , Karmoker KK10 , Dutta B11 , Rahman MS12

Mymensingh Med J 2023 Jul; 32 (3): 888-892

PMID: 37391991

Abstract

Among other valvular heart disease Aortic stenosis (AS) is the most common in the developed world. Transcatheter Aortic Valve Replacement (TAVR) is most acceptable treatment option for patient with severely calcified aortic stenosis with high and intermediate risk group. Among several challenges, one of the main challenges is to deal with bicuspid aortic valve (BAV). Non-circular annulus, bulky leaflets leading to perivalvular leaks and risk for rupture and often very severe calcification may contribute to periprocedural strokes leading to poor clinical outcome. This case, a 68-year-old woman with a history of type 2 diabetes mellitus (DM), hypothyroidism, bicuspid aortic valve and severe aortic stenosis, bronchial asthma, who had repeatedly refused any suggestion for open heart surgery, was our volunteer candidate for TAVR. After successful TAVR the peak pressure gradient decreased from 100mmHg to 17mmHg. So, TAVR could be a viable option for highly selected

Keywords: Bicuspid aortic valve, Severe aortic stenosis, Transcatheter aortic valve replacement


  1. Associate Professor

    Cardiology, National Institute of Cardiovascular Diseases (NICVD), Dhaka, Bangladesh

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Volume 32, Number 3 (2023)
Page: 888-892