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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Post-TAVI cardiac arrest associated to acute coronary occlusion: facing the storm to gain calm

26 Jan 2024

Observe this TAVI case featuring pulseless electrical activity due to an unforeseen acute occlusion of the right coronary artery, and discover the strategies employed to address and resolve this critical complication.

Authors :

Juan Guzmán Olea, Gonzalo Tolosa Dzul, Beatriz Villegas González, Jonathan Uribe González,  Guillermo Arenas Fonseca, Tomás Herrera Arzola, Rosa Gutiérrez Castañeda, Víctor Sustaita Cerda, Raúl Cruz Palomera, Arely Méndez Mercado, Darío Valencia González, Carlos Javier González Álvarez, Héctor Hugo Escutia Cuevas, Daniel Iván Pérez Vásquez, Gabriel Guzmán Olea.Specialty Hospital, Puebla, IMSS, México
Post-TAVI cardiac arrest associated to acute coronary occlusion: facing the storm to gain calm

A new angiographic tool to evaluate stent expansion besides intracoronary imaging

24 Nov 2023

A 57-year-old man with hypertension and dyslipidemia as cardiovascular risk factors was admitted for stable angina for months. His symptoms were not controlled despite maximal medical treatment (beta-blockers, nitrates, aspirin, statins). Angios revealed multivessel disease. How would you manage this case?

Author

Salvatore Brugaletta
3DStent: a new tool to evaluate stent expansion besides intra-coronary imaging

Severe symptomatic aortic stenosis in a "no access for TAVI" patient and an "unexpected" toll for balloon valvotomy

18 Oct 2023

An 88-year-old lady was admitted with resistant pulmonary oedema, a massively calcified aortic valve, renal failure and no transfemoral access option. How would you treat this patient?

Author

Haim Danenberg

Author

Lisa Manevich

Author

Dimitry Yakubovitch

Author

Adi Orbach
Severe symptomatic aortic stenosis in a 'no access for TAVI' patient and an 'unexpected' toll for balloon valvotomy

Native TAVI in small annulus with low coronary take-off - Lifetime management

27 Jul 2023

Analyze the case of this 78-year-old female patient with diabetes, obesity, HTN and hyperlipidemia, who presented with severe symptomatic AS, severely calcified posterior mitral leaflet, and both mild mitral and tricuspid regurgitations, and tell us how you would treat this woman!

Nikos Werner

Author

Nikos Werner
Native TAVI in small annulus with low coronary take-off - Lifetime management

Imaging and procedural techniques to optimise outcomes in Bicuspid Aortic Valve patients

17 May 2023

An 80-year-old male presented with severe symptomatic bicuspid aortic valve stenosis and a challenging anatomy for TAVI. Which TAVI device, access site and techniques would you use for treating this patient?

Author

Radoslaw Parma
Imaging and procedural techniques to optimise outcomes in Bicuspid Aortic Valve patients

Severe aortic stenosis and hostile annulus in a younger patient with a psychiatric condition

03 May 2023

Consider the case of a 67-year-old female patient with schizoaffective disorder and heart failure symptoms, who was diagnosed with severe aortic stenosis with hostile calcified annulus and LVOT, and compare how you would have treated her with how she was actually treated.

Author

Vjekoslav Tomulic
Severe aortic stenosis and hostile annulus in a younger patient with a psychiatric condition

Concomitant aortic valve stenosis and coronary disease in young population with low risk. The younger, the better?

09 Apr 2023

A 73-year-old female with hypertension, obesity and dyslipidemia was admitted to our hospital due to progressive dyspnoea during effort and dizziness. At admission, echocardiography revealed aortic valve stenosis with normal LV-Function...

Author

Michael Joner
Hector Alfonso Alvarez Covarrubias

Author

Hector Alfonso Alvarez Covarrubias
Concomitant aortic valve stenosis and coronary disease in young population with low risk. The younger, the better?

How should I treat? – TAVI with a self-expanding aortic valve in bicuspid aortic valve stenosis

09 Mar 2023

A 73-year-old male patient was referred for treatment of severe symptomatic aortic valve stenosis. This case describes the decision-making in performing TAVI with a self-expanding aortic valve in a patient with bicuspid aortic valve stenosis and peripheral arterial disease.

Author

Ole De Backer
Lars Sondergaard

Author

Lars Sondergaard
How should I treat? – TAVI with a self-expanding aortic valve in bicuspid aortic valve stenosis

Nightmares during primary PCI: large thrombus burden management in an ectatic Left anterior Descending Coronary Artery

08 Dec 2022

A 61-year-old man was admitted to the catheterization laboratory for anterior STEMI. Coronary angiography revealed a large thrombus burden in an ectatic and occluded LAD. How would you treat this challenging case? 

Dario Bongiovanni

Author

Dario Bongiovanni
Antonio Landi

Author

Antonio Landi

Author

Francesco Loizzi
Marco Valgimigli

Author

Marco Valgimigli
Nightmares during primary PCI: large thrombus burden management in an ectatic LAD Coronary Artery

Structural valve deterioration of a small aortic bioprosthesis. How should I treat?

16 Nov 2022

What would be your treatment strategy in this challenging case of a 78-year-old male patient with a failed surgical bioprosthetic valve implanted 17 years ago and complex coronary artery disease with chronic total occlusion of the right coronary artery?

Julien Ternacle

Author

Julien Ternacle
Lionel Leroux

Author

Lionel Leroux

Author

Thomas Modine
Structural valve deterioration of a small aortic bioprosthesis