Why the study?
Is transfemoral TAVI with a 20-mm Edwards SAPIEN XT valve feasible and effective in a patient with severe aortic stenosis and a small aortic annulus?
Is transfemoral TAVI with a 20-mm Edwards SAPIEN XT valve feasible and effective in a patient with severe aortic stenosis and a small aortic annulus?
This first-in-man case demonstrates the feasibility of using a 20-mm Edwards SAPIEN XT valve for TAVI in patients with severe aortic stenosis and a small aortic annulus.
Single-case success with 20-mm SAPIEN XT TAVI in small annulus does not yet alter practice; leaves open need for prospective validation.
We present the case of an 85-year-old woman diagnosed with severe aortic stenosis, porcelain aorta, and a small aortic annulus (17.3 mm), who underwent successful transfemoral transcatheter aortic valve implantation (TAVI) with a 20-mm Edwards SAPIEN XT valve using the NovaFlex+ delivery system. At 1-month follow-up the patient was in NYHA functional class I, and Doppler echocardiography showed a mean residual gradient of 15 mm Hg and trivial paravalvular aortic regurgitation. This case, which shows for the first time the feasibility of TAVI with a 20-mm valve, opens a new avenue for the challenging treatment of patients with aortic stenosis and a small aortic annulus.
No takes yet. Share an insight, caveat, or question.
Rodés‐Cabau et al. (2011) studied this question.