Affiliation:
1. Cardiac Center, King Fahd Armed Forces Hospital Jeddah Saudi Arabia
Abstract
Key points
Lifetime management of patients with aortic stenosis dictates the replacement strategy adopted while considering coronary access, valve degeneration, and future choice of valve.
Commissural malalignment should be stratified and not merely reported as a binary finding following transcatheter aortic valve replacement.
The implications of malalignment extend beyond coronary access to transcatheter heart valve hemodynamics and aortic regurgitation.