A 55-year-old male presented with acute left ventricular failure. His transthoracic echocardiogram (TTE) showed calcific unicuspid, unicommissural aortic valve with severe stenosis and moderate regurgitation, severe biventricular dysfunction and dilated ascending aorta (Figure 1). After medical stabilization, he was advised surgical aortic valve and aortic root replacement. He was refused surgery in view of severe biventricular dysfunction. He underwent successful Transcatheter Aortic valve implantation (TAVI) with a 29 mm Corevalve Evolut R (Medtronic, Minneapolis). His post procedure period was uneventful.
2. The Madras Medical Mission Hospital, Chennai, Tamil Nadu, India.
3. Eternity Hospital , Department of Cardiology , Jaipur, Rajasthan, India
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