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Read & Share cases

This section provides a selection of Read and Share cases provided by experts in interventional cardiology. These Clinical cases are often divided into two or more parts namely:

  • Part I presents the case, asking the reader to comment on treatment options,
  • Part II (posted online a couple of weeks later) then provides an answer,
  • Part Wrap-up is also available in certain cases.

Your comments are welcome! Use this section to share YOUR experience and/or questions with your peers. Please remember to log into your account to read or make any comments or contributions.

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Share your experience with the interventional cardiovascular community! The best submitted cases will appear in this section of the website. To make a contribution, send us an email to submit your case.

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49 results

TAVI for severe symptomatic AS in presence of mechanical mitral valve replacement

04 Jan 2017

A 74 year old Chinese female with significant past history of severe mitral regurgitation secondary to mitral valve prolapse treated mechanical mitral valve replacement in 1997 and atrial fibrillation was admitted for breathlessness and heart failure.

Author

Kay-Woon Ho

A mobile echodense mass on pre-TAVI echocardiography: strategies for stroke prevention

24 Aug 2016

Mrs. YM, 83 years old presented with a one-year history of increasing shortness of breath. Her other background history included hypertension, alpha-thalassaemia and polymyalgia rheumatica for which she had been on long-term steroids. On clinical examination there was a harsh ejection systolic murmur with a quiet second heart sound and echocardiography confirmed severe aortic stenosis. Prior to her presentation to hospital she had been performing all activities of daily living independently. In view of her progressive symptoms, she was referred for consideration of aortic valve intervention. Work up and further assessment included coronary and iliofemoral  angiography, carotid duplex ultrasound, lung function tests and a CT scan of her iliofemoral vasculature.

James Roy

Author

James Roy
Jonathan Byrne

Author

Jonathan Byrne
Philip MacCarthy

Author

Philip MacCarthy

Reflecting together on assumptions or beliefs: a case of anterior STEMI

11 Apr 2016

A 66-year-old man with history of asthma and memory disorder presented to hospital complaining of ischemic-type chest pain. He had similar events over the past week, prior history of atrial fibrillation and use of oral anticoagulation.

Pasi Karjalainen

Author

Pasi Karjalainen
Prof. Jean Marco

Author

Jean Marco

A 21 year male with resistant hypertension secondary to congenital coarctation of the aorta with bicuspid aortic regurgitation

07 Mar 2016

A young male with a congenital coarctation of the aorta suffering chest pain and severe hypertension was admitted to a peripheral, non-interventional centre. His medical therapy included atenolol 50mg twice daily and hydrochlorothiazide 25mg daily.

Shasheen Pandie

Author

Shaheen Pandie
Mpiko Ntsekhe

Author

Mpiko Ntsekhe
Farrel Hellig

Author

Farrel Hellig

Bentall Left Main stenting

01 Feb 2016

A 61-year-old female referred for dissecting aortic root aneurysm and suffering intense chest pain since two weeks before hospital admission.

Jack Tan

Author

Jack Tan
Dr Wishnu Aditya Widodo

Author

Wishnu Aditya Widodo
Prof. Tian-Hai Koh

Author

KOH Tian-Hai

Elderly fragile patient with recurrent ischemic pulmonary oedema and severe triple vessel disease

02 Dec 2015

Selected in Tawam Hospital, Al Ain, UAE

Ali Alshamsi

Author

Ali Al Shamsi

Chronic popliteal and below-the-knee occlusion

26 Oct 2015

From the Division of Angiology and Cardiology University Hospital, Geneva (Switzerland)A 57 year-old-male first admitted to hospital three months prior current hospitalization for dyspnea. CT scan revealed a pulmonary embolism. Transthoracic and transesophageal echocardiographies showed left ventricular apical thrombus and an antero-septo-apical akinesia with LV ejection fraction of 30% as well as a right-to-left shunt. The patient was suffering claudication.

Frédéric Glauser

Author

Frédéric Glauser
Geneva University Hospital

Author

Marco Roffi

Endovascular repair of aorto-pulmonary shunting after shotgun injury

15 Oct 2015

A 34-year-old male victim of a shotgun injury to his left hemithorax at the age of 12 years survived a bullet-induced destruction of the T6 vertebral body with resulting complete paraplegia. After recovering from this trauma he slowly developed cardiac failure on retrospect; no cardiovascular disorder was identified at the time.

Author

Christoph A. Nienaber

Author

Vasco Gama Ribeiro

The difficult and common combination of coronary artery disease and severe aortic stenosis in an elderly man presenting with breathlessness

08 Sep 2015

Dr Bernard Prendergast

Author

Bernard Prendergast
Zhan Yun Patrick Lim

Author

Zhan Yun Patrick Lim

Acute Inferior wall STEMI in a febrile patient

10 Aug 2015

A 68-year-old gentleman, diabetic since 10 years, hypertensive since 15 years, was diagnosed to have chronic renal failure in 2013, on hemodialysis, presented with fever, cough and fatigue since 2 weeks.

Author

Sajan Narayanan