Why the study?
BAV variations remain challenging for procedural success, requiring advances in multimodal imaging for risk stratification, follow-up, patient selection, and review of emerging treatment options.
Multimodal imaging is essential for risk stratification, patient selection, and procedural planning in patients with bicuspid aortic valve undergoing surgical or transcatheter interventions.
Supports multimodal imaging for BAV intervention planning; leaves open prospective validation of fusion techniques.
Bicuspid aortic valve (BAV) is the most frequent congenital cardiac abnormality leading to premature aortic valve apparatus dysfunction and is often associated with aortopathy. Therefore, current guidelines recommend a surgical aortic valve replacement (SAVR), even if many patients are deemed inoperable owing to their comorbidities and require alternatives such as transcatheter aortic valve replacement (TAVR). However, BAV variations remain challenging for procedural success. Therefore, the latest development in different imaging modalities (echocardiography, multislice-computertomographie, cardiovascular magnetic resonance) allows in-depth analysis for preprocedural risk stratification, follow up, and patient selection. Furthermore, we shed light on the latest developments in pre- and periprocedural fusion imaging as well as on current and future treatment options.
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Afzal et al. (2020) studied this question.
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