82 results
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...

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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...

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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?

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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?

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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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“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...

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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...
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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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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...

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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.

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