Key result
TAVR in a record 1057 mm2 bicuspid aortic valve highlights unique planning and deployment challenges.
TAVR can be successfully performed in extremely large annuli (>1000 mm2) with bicuspid anatomy, though it requires specialized planning and sizing considerations.
Extends TAVR feasibility to extreme large-annulus bicuspid cases; leaves open questions on generalizability and durability.
We report the largest annulus (>1000 m 2 ) treated with transcatheter aortic valve replacement to date. It highlights the unique challenges in planning, sizing, and deployment considerations in the setting of a very large and altered geometry of a bicuspid aortic valve.
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Russo et al. (2022) studied this question. Transcatheter aortic valve replacement in a 1057 mm2 bicuspid aortic valve represents the largest annulus treated to date, highlighting unique planning, sizing, and deployment challenges.
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