Transcatheter Aortic Valve Replacement in Transposition of the Great Arteries Following Arterial Switch Operation

Abstract

Transcatheter aortic valve replacement (TAVR) for the treatment of congenital heart disease has been mostly limited to patients with bicuspid aortic valve stenosis. We present a case of a 19 year old Jehovah's witness patient with D-Transposition of the great arteries (D-TGA) who underwent an arterial switch operation, followed by a valve sparing aortic root repair with a hemashield graft, who later developed severe aortic valve regurgitation and successfully underwent a transcatheter aortic valve replacement (TAVR) with the Edwards Sapien-3 valve.