Cases in Interventional Cardiovascular Medicine: Read & Share cases

An 81-year-old patient with symptomatic severe aortic stenosis, a 74° horizontal aorta, and critically low coronary height—a challenging mix that pushed the heart team to weigh all procedural options. Discover how detailed CT analysis, intra-procedural strategy, and step-by-step imaging assessments guided their approach. What would you...

Incomplete surgical LAA closure: how would you proceed?
Despite prior closure with an Atriclip during CABG, transoesophageal echocardiography reveals a persistent LAA gap in a high-risk patient with recurrent bleeding.
Explore the clinical details, imaging, and treatment dilemmas—then share your management approach!

Managing ACS in a high-bleeding-risk patient is always a delicate balance. In this case, an 83-year-old with NSTEMI, advanced CKD, and a recent intracranial hemorrhage presented with a complex mid-to-distal LAD lesion. What would be your strategy?

A 70-year-old male patient presents with severe dyspnea (NYHA III) and marked leg edema, alongside a complex medical history including hypertrophic cardiomyopathy, pulmonary hypertension, and liver fibrosis.

With invasive hemodynamic measurements indicating elevated pressures and reduced cardiac output, how would you approach the treatment of this patient,...

A 76-year-old female patient with a history of atrial fibrillation and contraindication to long-term anticoagulation presents for left atrial appendage closure. However, preprocedural imaging reveals a challenging retrobend chicken-wing morphology. What is the best technique to optimize positioning and ensure safe, effective closure in this scenario?

A 71-year-old male patient with a clinicial history of hypertension, dyslipidemia and active smoking was admitted for NSTEMI.

Coronary angiography showed a left main (LM) stenosis involving the bifurcation and proximal parts of the left anterior descending (LAD) and left circumflex (LCx) arteries. Right coronary artery (RCA) showed a severe...

Complex procedures, such as TAVI in patients with a degenerated bioprosthesis and a Bentall surgery history, demand meticulous planning. This case highlights the importance of computed tomography imaging to minimize procedural risks and explores the snare strategy for navigating anatomical constraints. Learn how this approach, adaptable to...

An 80-year-old man with severe aortic stenosis and significant comorbidities, including renal failure, diabetes, and diffuse atherosclerosis, underwent TAVI; however, post-procedure, he developed symptomatic bradycardia requiring a pacemaker, which later contributed to severe tricuspid regurgitation due to chordal rupture and mechanical leaflet displacement. How would you treat...

The purpose of this case report is to discuss the treatment of a chronic total occlusion (CTO) in a 58-year-old male patient with multiple cardiovascular risk factors including type 2 diabetes, dyslipidemia, hypertension, and smoking history.

Angio showed a CTO of the RCA. In the MR-Scan, the RCA...

A 93-year-old woman with prior TAVI and chronic kidney disease presented with severe aortic regurgitation from structural valve degeneration, worsening NYHA III symptoms, and repeated hospitalizations for cardiac decompensation. Imaging highlighted distinct anatomical complexities. How would you navigate the treatment options for this challenging case?