Transcatheter Aortic Valve Implantation in Rheumatic Aortic Valve Stenosis Using a Top-down Deployment Supra-annular Leaflets Transcatheter Aortic Valve: Technical Considerations

Aortic valve stenosis due to chronic rheumatic heart disease remains prevalent in the Asia-Pacific region. Because of the lack of substantial calcification that can anchor a transcatheter aortic valve, there are several technical considerations during transcatheter aortic valve implantation (TAVI) when treating this subset of patients. We report a case of successful TAVI using a novel top-down deployment supra-annular leaflets valve in a patient with rheumatic aortic valve stenosis and mechanical mitral valve prosthesis.