Transcatheter Aortic Valve Implantation in a Massive Aortic Annulus With a Novel Balloon-Expandable Valve

CASE SUMMARY: ) using a novel 35-mm balloon-expandable valve. TAVI can be performed off-label in selected patients with a massive aortic annulus using commercially available 29-mm transcatheter aortic valves by adding additional volume; however, this risks paravalvular leak, valve embolism, and damage to bioprosthetic leaflets. TAKE-HOME MESSAGE: using Myval 35-mm balloon-expandable valve with balloon overfilling.