Can We Six It? Double BASILICA Transcatheter Aortic Valve Replacement in Quadricuspid Aortic Valve

Nikoloz Shekiladze; Andrew Murphy; Vasilis Babaliaros; Hiroki Ueyama; Adam Greenbaum; Patrick Gleason; Joe Xie

doi:10.1016/j.jscai.2024.101352

Can We Six It? Double BASILICA Transcatheter Aortic Valve Replacement in Quadricuspid Aortic Valve

J Soc Cardiovasc Angiogr Interv. 2024 Feb 29;3(5):101352. doi: 10.1016/j.jscai.2024.101352. eCollection 2024 May.

Authors

Nikoloz Shekiladze¹, Andrew Murphy¹, Vasilis Babaliaros¹, Hiroki Ueyama¹, Adam Greenbaum¹, Patrick Gleason¹, Joe Xie¹

Affiliation

¹ Division of Interventional Cardiology, Structural Heart & Valve Center, Department of Medicine, Emory University School of Medicine, Atlanta, Georgia.

Abstract

Coronary artery obstruction is an uncommon yet devastating complication of transcatheter aortic valve replacement (TAVR) and may necessitate leaflet modification. A 38-year-old man presented to our center with quadricuspid aortic valve with severe aortic regurgitation. Double leaflet modification was performed with the Bioprosthetic or native Aortic Scallop Intentional Laceration to prevent Iatrogenic Coronary Artery obstruction (BASILICA) technique prior to TAVR, creating 6 leaflets from 4. The patient tolerated the procedure well with symptomatic improvement. Follow-up transthoracic echocardiogram showed normal bioprosthetic aortic valve function. This case demonstrates feasibility of this procedure with comprehensive preprocedural analysis and intraprocedural imaging guidance.

Keywords: aortic valve; congenital heart defect; valve replacement.

Publication types

Case Reports