Research Progress of Transcatheter Aortic Valve Replacement in Aortic Valve Stenosis due to Bicuspid Aortic Valve

Authors

  • Liyan Chen Department of Cardiology, Jiangxi Provincial People's Hospital, The First Affiliated Hospital of Nanchang Medical College, 330006 Nanchang, Jiangxi, China
  • Li Jiang Department of Cardiology, Jiangxi Provincial People's Hospital, The First Affiliated Hospital of Nanchang Medical College, 330006 Nanchang, Jiangxi, China
  • Mei Zou Department of Cardiology, Jiangxi Provincial People's Hospital, The First Affiliated Hospital of Nanchang Medical College, 330006 Nanchang, Jiangxi, China
  • Xuanlan Chen Department of Cardiology, Jiangxi Provincial People's Hospital, The First Affiliated Hospital of Nanchang Medical College, 330006 Nanchang, Jiangxi, China
  • Zhiyong Wu Department of Cardiology, Jiangxi Provincial People's Hospital, The First Affiliated Hospital of Nanchang Medical College, 330006 Nanchang, Jiangxi, China

DOI:

https://doi.org/10.59958/hsf.7005

Keywords:

aortic valve stenosis, bicuspid aortic valve, transcatheter aortic valve replacement

Abstract

Patients with bicuspid stenosis often have anatomical characteristics such as elliptical valve rings, high and asymmetric valve calcification, unequal valve leaflets, and concomitant widening of the ascending aorta and/or transverse heart. These unfavorable factors are more likely to cause poor placement of transcatheter aortic valve replacement (TAVR) valves, poor expansion of valve stents, which can lead to reduced valve durability, residual perivalve leakage, rupture of valve rings and surrounding structures, and serious surgical related complications such as ascending aortic dissection. In summary, TAVR treatment for mitral stenosis is receiving increasing attention. In this manuscript, we reviewed the research progress of transcatheter aortic valve replacement in aortic valve stenosis due to bicuspid aortic valve.

References

Borger MA, Fedak PWM, Stephens EH, Gleason TG, Girdauskas E, Ikonomidis JS, et al. The American Association for Thoracic Surgery consensus guidelines on bicuspid aortic valve-related aortopathy: Full online-only version. The Journal of Thoracic and Cardiovascular Surgery. 2018; 156: e41–e74.

Verma S, Siu SC. Aortic dilatation in patients with bicuspid aortic valve. The New England Journal of Medicine. 2014; 370: 1920–1929.

Michelena HI, Desjardins VA, Avierinos JF, Russo A, Nkomo VT, Sundt TM, et al. Natural history of asymptomatic patients with normally functioning or minimally dysfunctional bicuspid aortic valve in the community. Circulation. 2008; 117: 2776–2784.

Roberts WC, Ko JM. Frequency by decades of unicuspid, bicuspid, and tricuspid aortic valves in adults having isolated aortic valve replacement for aortic stenosis, with or without associated aortic regurgitation. Circulation. 2005; 111: 920–925.

Smith CR, Leon MB, Mack MJ, Miller DC, Moses JW, Svensson LG, et al. Transcatheter versus surgical aortic-valve replacement in high-risk patients. The New England Journal of Medicine. 2011; 364: 2187–2198.

Leon MB, Smith CR, Mack MJ, Makkar RR, Svensson LG, Kodali SK, et al. Transcatheter or Surgical Aortic-Valve Replacement in Intermediate-Risk Patients. The New England Journal of Medicine. 2016; 374: 1609–1620.

Mack MJ, Leon MB, Thourani VH, Makkar R, Kodali SK, Russo M, et al. Transcatheter Aortic-Valve Replacement with a Balloon-Expandable Valve in Low-Risk Patients. The New England Journal of Medicine. 2019; 380: 1695–1705.

Writing Committee Members, Otto CM, Nishimura RA, Bonow RO, Carabello BA, Erwin JP, 3rd, et al. 2020 ACC/AHA guideline for the management of patients with valvular heart disease: A report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. The Journal of Thoracic and Cardiovascular Surgery. 2021; 162: e183–e353.

Philip F, Faza NN, Schoenhagen P, Desai MY, Tuzcu EM, Svensson LG, et al. Aortic annulus and root characteristics in severe aortic stenosis due to bicuspid aortic valve and tricuspid aortic valves: implications for transcatheter aortic valve therapies. Catheterization and Cardiovascular Interventions: Official Journal of the Society for Cardiac Angiography & Interventions. 2015; 86: E88–E98.

Perlman GY, Blanke P, Webb JG. Transcatheter aortic valve implantation in bicuspid aortic valve stenosis. EuroIntervention: Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology. 2016; 12: Y42–Y45.

Sievers HH, Schmidtke C. A classification system for the bicuspid aortic valve from 304 surgical specimens. The Journal of Thoracic and Cardiovascular Surgery. 2007; 133: 1226–1233.

Jilaihawi H, Chen M, Webb J, Himbert D, Ruiz CE, Rodés-Cabau J, et al. A Bicuspid Aortic Valve Imaging Classification for the TAVR Era. JACC. Cardiovascular Imaging. 2016; 9: 1145–1158.

Nkomo VT, Enriquez-Sarano M, Ammash NM, Melton LJ, 3rd, Bailey KR, Desjardins V, et al. Bicuspid aortic valve associated with aortic dilatation: a community-based study. Arteriosclerosis, Thrombosis, and Vascular Biology. 2003; 23: 351–356.

Fazel SS, Mallidi HR, Lee RS, Sheehan MP, Liang D, Fleischman D, et al. The aortopathy of bicuspid aortic valve disease has distinctive patterns and usually involves the transverse aortic arch. The Journal of Thoracic and Cardiovascular Surgery. 2008; 135: 901–907.e2.

Makkar RR, Yoon SH, Leon MB, Chakravarty T, Rinaldi M, Shah PB, et al. Association Between Transcatheter Aortic Valve Replacement for Bicuspid vs Tricuspid Aortic Stenosis and Mortality or Stroke. JAMA. 2019; 321: 2193–2202.

Ueshima D, Nai Fovino L, Brener SJ, Fabris T, Scotti A, Barioli A, et al. Transcatheter aortic valve replacement for bicuspid aortic valve stenosis with first- and new-generation bioprostheses: A systematic review and meta-analysis. International Journal of Cardiology. 2020; 298: 76–82.

Tamburino C, Capodanno D, Ramondo A, Petronio AS, Ettori F, Santoro G, et al. Incidence and predictors of early and late mortality after transcatheter aortic valve implantation in 663 patients with severe aortic stenosis. Circulation. 2011; 123: 299–308.

Arnold SV, Zhang Y, Baron SJ, McAndrew TC, Alu MC, Kodali SK, et al. Impact of Short-Term Complications on Mortality and Quality of Life After Transcatheter Aortic Valve Replacement. JACC. Cardiovascular Interventions. 2019; 12: 362–369.

Kim WK, Renker M, Rolf A, Fischer-Rasokat U, Wiedemeyer J, Doss M, et al. Annular versus supra-annular sizing for TAVI in bicuspid aortic valve stenosis. EuroIntervention: Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology. 2019; 15: e231–e238.

Bugani G, Pagnesi M, Tchetchè D, Kim WK, Khokhar A, Sinning JM, et al. Predictors of high residual gradient after transcatheter aortic valve replacement in bicuspid aortic valve stenosis. Clinical Research in Cardiology: Official Journal of the German Cardiac Society. 2021; 110: 667–675.

Kanjanahattakij N, Horn B, Vutthikraivit W, Biso SM, Ziccardi MR, Lu MLR, et al. Comparing outcomes after transcatheter aortic valve replacement in patients with stenotic bicuspid and tricuspid aortic valve: A systematic review and meta-analysis. Clinical Cardiology. 2018; 41: 896–902.

Jin Q, Li W, Chen S, Li M, Zhou D, Zhang X, et al. Aortic valve morphology and paravalvular leak regression after a self-expandable transcatheter aortic valve replacement. Frontiers in Physiology. 2023; 13: 1088681.

Pasic M, Unbehaun A, Buz S, Drews T, Hetzer R. Annular rupture during transcatheter aortic valve replacement: classification, pathophysiology, diagnostics, treatment approaches, and prevention. JACC. Cardiovascular Interventions. 2015; 8: 1–9.

Fedak PWM, Verma S, David TE, Leask RL, Weisel RD, Butany J. Clinical and pathophysiological implications of a bicuspid aortic valve. Circulation. 2002; 106: 900–904.

De Marchena E, Mesa J, Pomenti S, Marin Y Kall C, Marincic X, Yahagi K, et al. Thrombus formation following transcatheter aortic valve replacement. JACC. Cardiovascular Interventions. 2015; 8: 728–739.

Hatoum H, Dollery J, Lilly SM, Crestanello JA, Dasi LP. Sinus Hemodynamics Variation with Tilted Transcatheter Aortic Valve Deployments. Annals of Biomedical Engineering. 2019; 47: 75–84.

Khodaee F, Barakat M, Abbasi M, Dvir D, Azadani AN. Incomplete expansion of transcatheter aortic valves is associated with propensity for valve thrombosis. Interactive Cardiovascular and Thoracic Surgery. 2020; 30: 39–46.

Gunning PS, Saikrishnan N, McNamara LM, Yoganathan AP. An textit{in vitro] evaluation of the impact of eccentric deployment on transcatheter aortic valve hemodynamics. Annals of Biomedical Engineering. 2014; 42: 1195–1206.

Yeats BB, Yadav PK, Dasi LP, Thourani VH. Transcatheter aortic valve replacement for bicuspid aortic valve disease: does conventional surgery have a future? Annals of Cardiothoracic Surgery. 2022; 11: 389–401.

Liao YB, Li YJ, Xiong TY, Ou YW, Lv WY, He JL, et al. Comparison of procedural, clinical and valve performance results of transcatheter aortic valve replacement in patients with bicuspid versus tricuspid aortic stenosis. International Journal of Cardiology. 2018; 254: 69–74.

Makkar RR, Yoon SH, Chakravarty T, Kapadia SR, Krishnaswamy A, Shah PB, et al. Association Between Transcatheter Aortic Valve Replacement for Bicuspid vs Tricuspid Aortic Stenosis and Mortality or Stroke Among Patients at Low Surgical Risk. JAMA. 2021; 326: 1034–1044.

Chen S, Chau KH, Nazif TM. The incidence and impact of cardiac conduction disturbances after transcatheter aortic valve replacement. Annals of Cardiothoracic Surgery. 2020; 9: 452–467.

Hamdan A, Nassar M, Schwammenthal E, Perlman G, Arow Z, Lessick J, et al. Short membranous septum length in bicuspid aortic valve stenosis increases the risk of conduction disturbances. Journal of Cardiovascular Computed Tomography. 2021; 15: 339–347.

Mylotte D, Lefevre T, Søndergaard L, Watanabe Y, Modine T, Dvir D, et al. Transcatheter aortic valve replacement in bicuspid aortic valve disease. Journal of the American College of Cardiology. 2014; 64: 2330–2339.

Mangner N, del Val D, Abdel-Wahab M, Crusius L, Durand E, Ihlemann N, et al. Surgical Treatment of Patients With Infective Endocarditis After Transcatheter Aortic Valve Implantation. Journal of the American College of Cardiology. 2022; 79: 772–785.

Panagides V, Del Val D, Abdel-Wahab M, Mangner N, Durand E, Ihlemann N, et al. Mitral Valve Infective Endocarditis after Trans-Catheter Aortic Valve Implantation. The American Journal of Cardiology. 2022; 172: 90–97.

Del Val D, Abdel-Wahab M, Mangner N, Durand E, Ihlemann N, Urena M, et al. Stroke Complicating Infective Endocarditis After Transcatheter Aortic Valve Replacement. Journal of the American College of Cardiology. 2021; 77: 2276–2287.

Forrest JK, Mangi AA, Popma JJ, Khabbaz K, Reardon MJ, Kleiman NS, et al. Early Outcomes With the Evolut PRO Repositionable Self-Expanding Transcatheter Aortic Valve With Pericardial Wrap. JACC. Cardiovascular Interventions. 2018; 11: 160–168.

Yang TH, Webb JG, Blanke P, Dvir D, Hansson NC, Nørgaard BL, et al. Incidence and severity of paravalvular aortic regurgitation with multidetector computed tomography nominal area oversizing or undersizing after transcatheter heart valve replacement with the Sapien 3: a comparison with the Sapien XT. JACC. Cardiovascular Interventions. 2015; 8: 462–471.

Song G, Jilaihawi H, Wang M, Chen M, Wang J, Wang W, et al. Severe symptomatic bicuspid and tricuspid aortic stenosis in China: Characteristics and outcomes of transcatheter aortic valve replacement with the VenusA valve. Structural Heart. 2018; 2: 60–68.

Niu G, Ali WB, Wang M, Jilaihawi H, Zhang H, Zhang Q, et al. Anatomical morphology of the aortic valve in Chinese aortic stenosis patients and clinical results after downsize strategy of transcatheter aortic valve replacement. Chinese Medical Journal. 2022; 135: 2968–2975.

Iannopollo G, Romano V, Buzzatti N, De Backer O, Søndergaard L, Merkely B, et al. A novel supra-annular plane to predict TAVI prosthesis anchoring in raphe-type bicuspid aortic valve disease: the LIRA plane. EuroIntervention: Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology. 2020; 16: 259–261.

Petronio AS, Angelillis M, De Backer O, Giannini C, Costa G, Fiorina C, et al. Bicuspid aortic valve sizing for transcatheter aortic valve implantation: Development and validation of an algorithm based on multi-slice computed tomography. Journal of Cardiovascular Computed Tomography. 2020; 14: 452–461.

Liu X, He Y, Zhu Q, Gao F, He W, Yu L, et al. Supra-annular structure assessment for self-expanding transcatheter heart valve size selection in patients with bicuspid aortic valve. Catheterization and Cardiovascular Interventions: Official Journal of the Society for Cardiac Angiography & Interventions. 2018; 91: 986–994.

Kohli K, Wei ZA, Yoganathan AP, Oshinski JN, Leipsic J, Blanke P. Transcatheter Mitral Valve Planning and the Neo-LVOT: Utilization of Virtual Simulation Models and 3D Printing. Current Treatment Options in Cardiovascular Medicine. 2018; 20: 99.

Dowling C, Bavo AM, El Faquir N, Mortier P, de Jaegere P, De Backer O, et al. Patient-Specific Computer Simulation of Transcatheter Aortic Valve Replacement in Bicuspid Aortic Valve Morphology. Circulation. Cardiovascular Imaging. 2019; 12: e009178.

Lavon K, Marom G, Bianchi M, Halevi R, Hamdan A, Morany A, et al. Biomechanical modeling of transcatheter aortic valve replacement in a stenotic bicuspid aortic valve: deployments and paravalvular leakage. Medical & Biological Engineering & Computing. 2019; 57: 2129–2143.

Rodriguez-Gabella T, Voisine P, Dagenais F, Mohammadi S, Perron J, Dumont E, et al. Long-Term Outcomes Following Surgical Aortic Bioprosthesis Implantation. Journal of the American College of Cardiology. 2018; 71: 1401–1412.

Gleason TG, Reardon MJ, Popma JJ, Deeb GM, Yakubov SJ, Lee JS, et al. 5-Year Outcomes of Self-Expanding Transcatheter Versus Surgical Aortic Valve Replacement in High-Risk Patients. Journal of the American College of Cardiology. 2018; 72: 2687–2696.

Abdel-Wahab M, Landt M, Neumann FJ, Massberg S, Frerker C, Kurz T, et al. 5-Year Outcomes After TAVR With Balloon-Expandable Versus Self-Expanding Valves: Results From the CHOICE Randomized Clinical Trial. JACC. Cardiovascular Interventions. 2020; 13: 1071–1082.

Messner B, Bernhard D. Bicuspid aortic valve-associated aortopathy: Where do we stand? Journal of Molecular and Cellular Cardiology. 2019; 133: 76–85.

Itagaki S, Chikwe JP, Chiang YP, Egorova NN, Adams DH. Long-Term Risk for Aortic Complications After Aortic Valve Replacement in Patients With Bicuspid Aortic Valve Versus Marfan Syndrome. Journal of the American College of Cardiology. 2015; 65: 2363–2369.

Published

2024-04-21

How to Cite

Chen, L., Jiang, L., Zou, M., Chen, X., & Wu, Z. (2024). Research Progress of Transcatheter Aortic Valve Replacement in Aortic Valve Stenosis due to Bicuspid Aortic Valve. The Heart Surgery Forum, 27(4), E431-E438. https://doi.org/10.59958/hsf.7005

Issue

Section

Review