Successful transcatheter aortic valve replacement in an oversized 800mm<sup>2</sup> annulus and bicuspid aortic valve.

MedStar author(s):
Citation: Cardiovascular Revascularization Medicine. 19(8S):65-67, 2018 Dec.PMID: 29716809Institution: MedStar Heart & Vascular InstituteForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Aortic Valve/ab [Abnormalities] | *Aortic Valve/su [Surgery] | *Heart Valve Diseases/su [Surgery] | *Heart Valve Prosthesis | *Transcatheter Aortic Valve Replacement/mt [Methods] | Aged | Aortic Valve/dg [Diagnostic Imaging] | Echocardiography | Heart Valve Diseases/di [Diagnosis] | Humans | Male | Prosthesis Design | Tomography, X-Ray ComputedYear: 2018Local holdings: Available in print through MWHC library: 2002 - presentISSN:
  • 1878-0938
Name of journal: Cardiovascular revascularization medicine : including molecular interventionsAbstract: Copyright (c) 2018. Published by Elsevier Inc.The current iterations of balloon-expandable transcatheter aortic valve replacement (TAVR) valves consist of a maximum size of 29mm, corresponding to maximum annulus area of 680mm<sup>2</sup>. However, a number of patients who qualify for TAVR based on surgical risk may have anatomical features outside the FDA-approved descriptions. The technique of overexpansion of TAVR valves during deployment allows for more patients to be treated successfully. This particular case demonstrates that overexpansion is safe and efficacious in a very large annulus of >800mm<sup>2</sup>. Careful planning and consideration of aortic root calcification is helpful for technique of overexpansion and, ultimately, the technique may increase the number of patients eligible for TAVR.All authors: Ben-Dor I, Buchanan KD, Rogers T, Satler LF, Shults C, Waksman RFiscal year: FY2019Digital Object Identifier: Date added to catalog: 2019-01-08
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Item type Current library Collection Call number Status Date due Barcode
Journal Article MedStar Authors Catalog Article 29716809 Available 29716809

Available in print through MWHC library: 2002 - present

Copyright (c) 2018. Published by Elsevier Inc.

The current iterations of balloon-expandable transcatheter aortic valve replacement (TAVR) valves consist of a maximum size of 29mm, corresponding to maximum annulus area of 680mm<sup>2</sup>. However, a number of patients who qualify for TAVR based on surgical risk may have anatomical features outside the FDA-approved descriptions. The technique of overexpansion of TAVR valves during deployment allows for more patients to be treated successfully. This particular case demonstrates that overexpansion is safe and efficacious in a very large annulus of >800mm<sup>2</sup>. Careful planning and consideration of aortic root calcification is helpful for technique of overexpansion and, ultimately, the technique may increase the number of patients eligible for TAVR.

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