Key result
Transcatheter aortic valve implantation provides an alternative to surgical replacement in older patients with bicuspid aortic valve disease who may be unsuitable for surgery.
Why the study?
In an era of expanding TAVI use, management of patients with bicuspid aortic valve disease is far less well established than in trileaflet anatomy, with outcomes reported only in relatively small non-randomised series.
What are the contemporary interventional treatment options and outcomes for patients with bicuspid aortic valve disease in the TAVI era?
What are the contemporary interventional treatment options and outcomes for patients with bicuspid aortic valve disease in the TAVI era?
This review outlines contemporary interventional treatment options for bicuspid aortic valve disease, highlighting TAVI as an alternative for older, high-surgical-risk patients despite limited randomized data.
In an era of rapidly expanding use of transcatheter aortic valve implantation (TAVI), the management of patients with bicuspid aortic valve (BAV) disease is far less well established than in those with trileaflet anatomy. Results of isolated surgical aortic valve replacement are excellent in suitable patients, and surgery also allows treatment of concomitant pathology of the aortic root and ascending aorta that is frequently encountered in this cohort. Conversely, TAVI provides an excellent alternative in older patients who may be unsuitable for surgery, although outcomes in BAV disease have only been reported in relatively small non-randomised series. Here, we discuss the pertinent literature on this topic and outline contemporary interventional treatment options in this challenging setting.
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Jahangiri et al. (2024) conducted a review in Bicuspid aortic valve disease. Transcatheter aortic valve implantation (TAVI) vs. Surgical aortic valve replacement was evaluated. Transcatheter aortic valve implantation provides an alternative to surgical replacement in older patients with bicuspid aortic valve disease who may be unsuitable for surgery.
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