Journal Of Indian College Of Cardiology

REVIEW ARTICLE
Year
: 2021  |  Volume : 11  |  Issue : 4  |  Page : 166--171

Transcatheter aortic valve replacement for bicuspid aortic valve


Immaneni Sathyamurthy, Sai Satish 
 Department of Cardiology, Apollo Main Hospitals, Chennai, Tamil Nadu, India

Correspondence Address:
Dr. Immaneni Sathyamurthy
Department of Cardiology, Apollo Main Hospitals, Chennai - 600 006, Tamil Nadu
India

Transcatheter aortic valve replacement (TAVR) is being routinely done in various centres for aortic stenosis due to tricuspid aortic valves. The number of TAVR procedures are increasing, but the data on bicuspid aortic valves (BAV) is scanty. BAV is commonest abnormality in general population and can progress to severe aortic stenosis. BAVs are a heterogeneous group due to anatomical variations and these valves are large, elliptical with asymmetric calcification. Echocardiography, multidetector CT scans help in diagnosing various phenotypes and in pre TAVR work up in sizing the device. The major issues regarding TAVR in BAVs are improper deployment of the valve , increased risk of strokes, paravalvular leaks, need for second device and requirement for pacemakers. With new generation devices the complication rates are coming down indicating their safe usage in BAVs. Data from TAVR registries and published studies have shown the applicability of TAVR in BAVs with acceptable outcomes.


How to cite this article:
Sathyamurthy I, Satish S. Transcatheter aortic valve replacement for bicuspid aortic valve.J Indian coll cardiol 2021;11:166-171


How to cite this URL:
Sathyamurthy I, Satish S. Transcatheter aortic valve replacement for bicuspid aortic valve. J Indian coll cardiol [serial online] 2021 [cited 2022 Jan 21 ];11:166-171
Available from: https://www.joicc.org/article.asp?issn=1561-8811;year=2021;volume=11;issue=4;spage=166;epage=171;aulast=Sathyamurthy;type=0