Seyed Ebrahim Kassaian - Tehran Heart Center AND Department of Interventional Cardiology, Tehran University of Medical Sciences, Tehran, Iran
Faramarz Fallahi - Department of Cardiology, Mostafa Khomaini Hospital, Shahed University, Tehran, Iran
Mahmood Shirzad - Tehran Heart Center AND Department of Cardiac Surgery, Tehran University of Medical Sciences, Tehran, Iran
Mohammad Sahebjam - Tehran Heart Center AND Department of Echocardiography, Tehran University of Medical Sciences, Tehran, Iran
Mojtaba Salarifar - Tehran Heart Center AND Department of Echocardiography, Tehran University of Medical Sciences, Tehran, Iran

BACKGROUND: Transcatheter aortic valve implantation (TAVI) was known as an alternative technique for treatment of severe aortic stenosis (AS). This technique is controversial in bicuspid aortic valve (BAV). Here, we report TAVI for severe AS in a BAV setting in a patient with serious lung disease. CASE REPORT: A ۶۸-year-old woman with a history of coronary artery bypass graft, BAV and severe AS, asthma, who had repeatedly denied any suggestion for open heart surgery, was our volunteer candidate for TAVI. The peak and mean pressure gradient decreased from ۵۳ and ۴۳ mm Hg to ۱۳and ۶ mm Hg respectively. CONCLUSION: TAVI could be a viable option for highly selected patients with AS and BAV who have a prohibitive risk for open heart surgery. 

Transcatheter Aortic Valve Implantation, Aortic Stenosis, Bicuspid Aortic Valve