Transcatheter aortic valve implantation using Evolut R in quadricuspid aortic valve with severe stenosis and regurgitation

Aoyama, Rie; Futami, Shutaro; Tanaka, Jun; Takeda, Kazuhiro; Nishimura, Takashi; Tobaru, Tetsuya

doi:10.1007/s12928-018-0544-7

Cited by 5 publications

(4 citation statements)

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“…10 Only a few cases of stenosed QAV treated successfully with TAVI have been reported previously. [4][5][6] In conclusion, our case report adds to the body of evidence supporting the feasibility of TAVI in patients with severe aortic stenosis associated with QAV. Valve positioning was fluoroscopically challenging and the low position of the left main coronary artery needed to be considered.…”

Section: Discussionmentioning

confidence: 86%

“…TAVI is considered an option for certain patients with symptomatic aortic stenosis, such as elderly patients who are suitable for transfemoral access 10 . Only a few cases of stenosed QAV treated successfully with TAVI have been reported previously 4‐6 …”

Section: Discussionmentioning

confidence: 99%

“…For symptomatic patients, treatment involves valve repair, or more often, valve replacement. 2,3 Transcatheter aortic valve implantation (TAVI) is often used in patients with severe aortic valvular dysfunction 4 ; however, given the rarity of QAV, only a few cases of stenosed QAVs treated with TAVI have been reported. [4][5][6] We present the case of a patient with severe QAV stenosis who underwent treatment with TAVI.…”

Section: Introductionmentioning

confidence: 99%

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A four‐leaf clover: A case report of quadricuspid aortic valve stenosis

2020

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Background: We present the case of a patient with severe quadricuspid aortic valve (QAV) stenosis who underwent treatment with transcatheter aortic valve implantation (TAVI). Case Summary: An 87-year-old woman was referred to our department with severe aortic stenosis. Computed tomography angiography revealed a QAV with four separate equal-sized leaflets, similar in appearance to a four-leaf clover. The patient underwent successful implantation of a 23 mm Edwards Sapien 3 transcatheter valve via left transfemoral access. The valve positioning across the aortic annulus was fluoroscopically challenging due to difficulty visualizing all four cusps in only one two-dimensional view and to the position of the left main coronary artery, which was very low. The immediate result of the TAVI was good, with no aortic regurgitation and no coronary damage. Follow-up to 6 months was free of event. Conclusion: This case demonstrates that QAV stenosis can be treated using TAVI with good clinical outcomes. K E Y W O R D S aortic valve, case report, quadricuspid aortic valve, stenosis, transcatheter aortic valve implantation

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Section: Discussionmentioning

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A four‐leaf clover: A case report of quadricuspid aortic valve stenosis

2020

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“…4,5,15,31,32 More recently, there have been case reports of safe use of trans-catheter aortic valve implantation in selected patient. 33,34 As patients with quadricuspid aortic valve have tendency to progressively develop aortic regurgitation, careful and regular follow-up in these patients is recommended.…”

Section: Discussionmentioning

confidence: 99%

Quadricuspid aortic valve and a large patent ductus arteriosus treated with device closure

2021

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Quadricuspid aortic valve is a remarkably rare congenital cardiac anomaly that predominantly becomes regurgitant with the passage of time. Aortic valve stenosis and aortic root dilatation are less common in quadricuspid aortic valve as compared to bicuspid aortic valve. The clinical presentation depends upon the functional status of the aortic valve, left ventricular function, and associated cardiac or coronary anomalies. The quadricuspid aortic valve is easily visualised during transthoracic echocardiogram with a characteristic X pattern of aortic valve in diastole. The association of quadricuspid aortic valve with patent ductus arteriosus is exceedingly rare. We are reporting a case of young girl with mildly regurgitant quadricuspid aortic valve, large patent ductus arteriosus, and volume-loaded left heart who underwent a successful device closure of her patent ductus arteriosus. To the best of our knowledge, such a case is being reported from Pakistan for the first time.

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