Successful Transcatheter Aortic Valve Implantation in High Risk Patients Using the Balloon Expandable Myval Valve

Introduction:

Transcatheter aortic valve implantation (TAVI) has emerged as a breakthrough procedure for treating severe aortic stenosis (AS), particularly in high-risk patients with complex coronary anatomies. A novel solution, the balloon-expandable Myval valve, is proving to be a game-changer. This case report delves into two high-risk patients with low coronary ostial heights and the successful deployment of this advanced valve design. To explore more groundbreaking research in this field, visit https://www.cardiologymedjournal.com/jccm.

Main Content Sections:

Summary of Findings:

• Patient Case 1: A 70-year-old female with severe AS, post-SAVR, underwent ViV TAVI with the Myval THV, utilizing a guide extension catheter for coronary protection. The procedure resulted in stable hemodynamics with no complications such as coronary obstruction.
• Patient Case 2: A 63-year-old female with morbid obesity and severe AS received a replacement of her native bicuspid valve. The Myval THV was successfully implanted using a left-sided coronary protection strategy, avoiding coronary obstruction.

Key Findings:

• Innovative Valve Design: The Myval valve’s low frame height and hybrid honeycomb design minimize the risk of coronary occlusion, offering a safer alternative for high-risk TAVI patients.
• Coronary Protection Strategy: Both cases utilized the “wire-only” strategy for coronary protection, emphasizing the importance of pre-procedural planning, particularly in patients with low coronary ostial heights.
• No Coronary Obstruction: Despite high-risk factors, the deployment of the Myval THV was successful in preventing coronary obstruction, showcasing its effectiveness in challenging anatomies.

Integration of External Medical Sources:

According to The American College of Cardiology (ACC), TAVI procedures should be carefully tailored to each patient’s unique anatomical challenges to ensure optimal outcomes. The use of newer-generation valves, such as the Myval THV, can mitigate risks associated with traditional valve designs and improve clinical outcomes in complex cases like the ones presented here.

Further Reading and Resource

• Read the full study at https://doi.org/10.29328/journal.jccm.1001159.
• For more related articles on heart valve innovations, visit our Cardiology Section. For further insights, explore the detailed case study in our main journal article.
• Homepage Visit https://www.cardiologymedjournal.com/jccm to discover more research in cardiovascular medicine.

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