Transcatheter aortic valve implantation is one of the main treatment strategies for severe symptomatic aortic valve stenosis. The expansion of indications for low surgical risk patients has been based on recent studies. In this scenario, a younger population with bicuspid aortic valves is expected to be more frequently submitted to transcatheter valve replacement, given this anatomic profile is generally associated with larger aortic rings. There is no consensus on the best technique to use on these cases. We describe the implantation of an Edwards SAPIEN 3 prosthesis on a patient with a bicuspid aortic valve and large ring, and report the in-hospital follow-up.
Transcatheter implantation of balloon expandable bioprosthesis for large bicuspid aortic valve: case report
Toledo,João Felipe Barros de and Carneiro,Gustavo Fernandes and Pansani,Rodrigo Cesar de Souza and Gubolino,Luiz Antonio and Teixeirense,Pablo Tomé and Neto,Wilson Guimarães and Costa,Midiã Kaneblai Martins and Esteves,Vinícius. Transcatheter implantation of balloon expandable bioprosthesis for large bicuspid aortic valve: case report. J Transcat Intervent [online]. 2020, vol.28, [cited 2026-03-06], Available from: <https://jotci.org/article/transcatheter-implantation-of-balloon-expandable-bioprosthesis-for-large-bicuspid-aortic-valve-case-report/>. ISSN . http://doi.org/10.31160/JOTCI202028A20200008.
Toledo,João Felipe Barros de; Carneiro,Gustavo Fernandes; Pansani,Rodrigo Cesar de Souza; Gubolino,Luiz Antonio; Teixeirense,Pablo Tomé; Neto,Wilson Guimarães; Costa,Midiã Kaneblai Martins; Esteves,Vinícius. Transcatheter implantation of balloon expandable bioprosthesis for large bicuspid aortic valve: case report. J Transcat Intervent, v.28, Jul. 2020. Available from: <https://jotci.org/article/transcatheter-implantation-of-balloon-expandable-bioprosthesis-for-large-bicuspid-aortic-valve-case-report/>. acess on 06 Mar. 2026. http://doi.org/10.31160/JOTCI202028A20200008.
Toledo,João Felipe Barros de, & Carneiro,Gustavo Fernandes, & Pansani,Rodrigo Cesar de Souza, & Gubolino,Luiz Antonio, & Teixeirense,Pablo Tomé, & Neto,Wilson Guimarães, & Costa,Midiã Kaneblai Martins, & Esteves,Vinícius. (2020). Transcatheter implantation of balloon expandable bioprosthesis for large bicuspid aortic valve: case report. J Transcat Intervent, 28, http://doi.org/10.31160/JOTCI202028A20200008.
ToledoJoão Felipe Barros de, CarneiroGustavo Fernandes, PansaniRodrigo Cesar de Souza, GubolinoLuiz Antonio, TeixeirensePablo Tomé, NetoWilson Guimarães, CostaMidiã Kaneblai Martins, EstevesVinícius. Transcatheter implantation of balloon expandable bioprosthesis for large bicuspid aortic valve: case report. J Transcat Intervent [Internet]. 2020 Jul [cited 2026 Mar 06]; 28: Available from: https://jotci.org/article/transcatheter-implantation-of-balloon-expandable-bioprosthesis-for-large-bicuspid-aortic-valve-case-report/. http://doi.org/10.31160/JOTCI202028A20200008.
Figure 4
Echocardiographic result. Arrow indicating trivial paraprosthetic regurgitation. (A) Long axis of aorta. (B) Transverse axis of aorta.