Cases in Interventional Cardiovascular Medicine: Read & Share cases

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?

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?

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.

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...

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...