Key result
Transapical TAVR proves feasible in a challenging case of unicuspid aortic valve stenosis.
Why the study?
TAVR in unicuspid aortic valve stenosis has not yet been described despite challenges due to asymmetric prosthesis expansion and apposition.
Case Report (n=1)
This case report provides early evidence for the feasibility of transapical TAVR using an Edwards Sapiens prosthesis in patients with unicuspid aortic valve stenosis.
Supports technical feasibility of TAVR in UAV; leaves open safety and efficacy questions for prospective evaluation.
Unicuspid aortic valve (UAV) offers unique challenges to transcatheter aortic valve replacement (TAVR), due to asymmetric expansion and apposition of the prosthesis during implantation. Although TAVR in bicuspid is now a well described experience, TAVR in unicuspid valve has not yet been described. A challenging case is described with TAVR in UAV using a Edwards Sapiens prosthesis via transapical approach.
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Acharji et al. (2016) conducted a case report in Unicuspid aortic valve stenosis (n=1). Transcatheter aortic valve replacement (TAVR) using Edwards Sapiens prosthesis via transapical approach was evaluated. Transcatheter aortic valve replacement using an Edwards Sapiens prosthesis via a transapical approach was described in a challenging case of unicuspid aortic valve stenosis.
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