Cases in Interventional Cardiovascular Medicine: Read & Share cases

This section provides a selection of Read and Share clinical cases provided by experts in interventional cardiology. Your comments are welcome! Use this section to share YOUR experience and/or questions with your peers. Please log into your free My PCR account to read or make any comments or contributions.

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Functional and structural Tricuspid Regurgitation after TAVI with subsequent AV block III and pacemaker implantation: How should I treat?

24 Jan 2025

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...

Harald Lapp

Author

Harald Lapp
Functional and structural Tricuspid Regurgitation after TAVI with subsequent AV block III and pacemaker implantation: How should I treat?

Let it heal!

05 Feb 2025

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...

Johannes Rigger

Author

Johannes Rigger
Let it heal!

TAVI-in-TAVI in a patient with a high risk for coronary obstruction

02 Dec 2024

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?

Henryk Dreger

Author

Henryk Dreger
TAVI-in-TAVI in a patient with a high risk for coronary obstruction

How should I treat a torrential tricuspid valve regurgitation with large coaptation gap size and severe tethered leaflets?

26 Nov 2024

An 84-year-old female patient with severe tricuspid valve regurgitation (TR) and progressive right-sided heart failure signs is referred for diagnosis and treatment. Transoesophageal echocardiography (TEE) reveals isolated torrential TR (5/5) with a large coaptation gap size and tethered leaflets. How would you treat this patient?

Rico Osteresch

Author

Rico Osteresch
How should I treat a torrential tricuspid valve regurgitation with large coaptation gap size and severe tethered leaflets?

The DCB kissing technique as a durable solution in treatment of recurring left main in-stent restenosis

18 Nov 2024

A 73-year-old male with complex recurrent in-stent restenosis of the left main underwent an innovative treatment approach. Six-month follow-up revealed remarkable recovery and positive remodelling. Discover how Piotr Buszman and Mateusz Kachel tackled this challenging case.

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Piotr Buszman

Author

Piotr Buszman

Author

Mateusz Kachel
The DCB kissing technique as a durable solution in treatment of recurring left main in-stent restenosis

“Big and heavy” – TAVI in a severely calcified aortic stenosis with large annulus

22 Nov 2024

An 89-year-old male presented with worsening HF symptoms and a history of permanent AF and chronic renal failure. TTE confirmed severe AS, while coronary angiography revealed single vessel disease. He was referred to a heart valve center for further evaluation, where multislice computed tomography showed a...

Niklas Schofer

Author

Niklas Schofer
“Big and heavy” – TAVI in a severely calcified aortic stenosis with large annulus

Self-expanding intra-annular TAVI in small annulus

16 Dec 2024

How would you treat this 76-year-old female patient presenting with significant dyspnea (NYHA III), a history of CAD, and recent NSTEMI with stenting of the RCA? On examination, she has a systolic heart murmur, and TTE reveals severe aortic stenosis with mild regurgitation, along with severe left...

Author

Samuel Lee
Self-expanding intra-annular TAVI in small annulus

Severe tricuspid regurgitation: repair or replace?

15 Nov 2024

An 87-year-old male patient with severe tricuspid regurgitation, a history of pacemaker implantation, and atrial fibrillation seeks advanced treatment options to improve his declining exercise capacity and daily activities.

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Henryk Dreger

Author

Henryk Dreger
Severe tricuspid regurgitation: repair or replace?

LAA occlusion in reverse chicken-wing

04 Nov 2024

Discover the case of an 82-year-old female with cardiovascular risk factors including hypertension and diabetes (managed with oral antidiabetics), permanent non-valvular atrial fibrillation, who presented with recurrent episodes of epistaxis while on anticoagulants...

Adel Aminian

Author

Adel Aminian
Xavier Freixa

Author

Xavier Freixa Rofastes
Dr Philippe Garot

Author

Philippe Garot
LAA occlusion in reverse chicken-wing

Flat-out success: TAVI in a patient with a horizontal aorta and large annulus

16 Oct 2024

Study the case of an 86-year-old male patient with progressive NYHA III dyspnoea, HTN, AF and previous stroke who presented with HF, LVEF 61 %, severe atrial dilatation, severe AS, mild MR and severely calcified tricuspid aortic valve with a large annulus suitable for transfemoral TAVI.

Pieter Vriesendorp

Author

Pieter Vriesendorp
Suzanne Kats

Author

Suzanne Kats
Flat-out success: TAVI in a patient with a horizontal aorta and large annulus