Transcatheter aortic valve implantation using balloon-expandable Myval transcatheter heart valve in a patient with bicuspid aortic valve with low-flow, low-gradient severe aortic stenosis

Transcatheter aortic valve implantation is the preferred treatment for aortic stenosis in elderly patients at high surgical risk. This is one of the complex Transcatheter aortic valve implantation cases done in Shahid Gangalal National Heart Centre. This case is complex as it involves a Bicuspid Aortic valve with low-flow, low-gradient severe aortic stenosis, annular calcification extending up to the left ventricular outflow tract, and horizontal aorta. We share this case which was successfully performed using a balloon-expandable Myval transcatheter heart valve.