Debate

TAVI in younger patients with bicuspid aortic stenosis: pros and cons

EuroIntervention 2022;18:790-792. DOI: 10.4244/EIJ-E-22-00042

Daniel Blackman
Daniel J. Blackman1, MD, MRCP; Noman Ali1, PhD, MRCP; Michael A. Borger2, MD, PhD
1. Leeds Teaching Hospitals NHS Trust, Leeds, UK; 2. University Clinic of Cardiac Surgery, Leipzig Heart Center, Leipzig, Germany
Pros: safety and efficacy of TAVI in BAV Daniel J. Blackman, MD, MRCP; Noman Ali, PhD, MRCP

There are a number of specific considerations when performing transcatheter aortic valve implantation (TAVI) in younger patients because of the need to consider lifetime management when life expectancy is measured in decades. We address each in turn, outlining how bicuspid anatomy may be advantageous for lifetime management, and describe the growing evidence supporting the safety and efficacy of TAVI in bicuspid aortic valves (BAV).

Valve durability: Valve durability remains the most important factor when considering TAVI in younger patients. A ...

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