Why the study?
As TAVR indications expand, its evolving role and unique anatomical and hemodynamic challenges in patients with bicuspid aortic valves require review.
This review highlights the anatomical and hemodynamic differences and unique challenges of performing TAVR in patients with bicuspid aortic valves.
TAVR role in bicuspid aortic valve remains uncertain; leaves open need for dedicated RCTs before practice change.
Transcatheter aortic valve replacement (TAVR) is a minimally invasive procedure used to replace a damaged aortic valve with a prosthetic valve. TAVR has exceeded surgical aortic valve replacement (SAVR) due to shorter procedures and recovery times. Though initially approved for patients with aortic stenosis at a high surgical risk, TAVR's indications have now broadened to include high, intermediate, and low-risk patients. This review focuses on the evolving role of TAVR in patients with bicuspid aortic valves (BAV). We examine the anatomical and hemodynamic differences between tricuspid aortic valve and BAV, highlighting the unique challenges TAVR faces in BAV patients.
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Alkhas et al. (2025) conducted a review in Bicuspid Aortic Valve Disease with Aortic Stenosis. Transcatheter Aortic Valve Replacement (TAVR) vs. Surgical Aortic Valve Replacement (SAVR) was evaluated.
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