TAVR in bicuspid aortic valve stenosis: "We are not there yet" to draw final conclusions.

Ole de BackerLars Søndergaard

Published in: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions (2019)

TAVR for bicuspid AS is not associated with excess mortality, but paravalvular leak and pacemaker implant is increased compared to tricuspid AS cohorts undergoing TAVR. Operators should weigh these potential complications against the clinical benefit obtained with TAVR for bicuspid AS patients at high surgical risk. A randomized controlled trial comparing TAVR with SAVR in younger, low-surgical risk patients with-or at least not excluding-bicuspid AS is strongly needed.

Keyphrases

aortic stenosis
aortic valve
transcatheter aortic valve replacement
transcatheter aortic valve implantation
aortic valve replacement
ejection fraction
left ventricular
coronary artery disease
risk factors
cardiovascular events
heart failure
inferior vena cava
atrial fibrillation