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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85 results

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

Structural valve deterioration of a supra-annular transcatheter aortic valve: How should I treat it?

29 Dec 2022

With the progressive increasing usage of TAVI in younger patients with longer life expectancy, the way to manage a failed transcatheter aortic valve will become an important issue.What would be your treatment strategy in this challenging case of an 86-year-old female patient with a failed supra-annular...

Ana Paula Tagliari

Author

Ana Paula Tagliari
Maurizio Taramasso

Author

Maurizio Taramasso
Structural valve deterioration of a supra-annular transcatheter aortic valve

New-onset breathlessness following bioprosthetic surgical aortic valve replacement

26 Sep 2022

A 72-year-old female who had previously undergone surgical aortic valve replacement (sAVR), presents with a one-year history of NYHA II to III symptoms, particularly progressive over the past 3 months amounting to shortness of breath on minimal exertion...

Tiffany Patterson

Author

Tiffany Patterson
New-onset breathlessness following bioprosthetic surgical aortic valve replacement

Severely degenerated mitral valve post mitral ring

13 Jul 2022

How would you treat this 62-year-old female patient with NYHA class III/IV symptoms, degeneration of mitral valve repair (with annuloplasty ring - 2008) with significant MR, and high surgical risk?

Author

Simon Redwood
Severely degenerated mitral valve post mitral ring

What you need to know to start a successful erectile dysfunction endovascular treatment program in your practice

28 Jun 2022

How would you treat this 54-year-old man with hypertension and non-insulin dependent diabetes who presents with severe erectile dysfunction since 2018?

Daniela Benedetto

Author

Daniela Benedetto
What you need to know to start a successful erectile dysfunction endovascular treatment program in your practice

Native right ventricular outflow tract valve implantation

15 Jun 2022

This case has been accredited by EBAC with 1 CME credit

An 8-year-old boy with Tetralogy of Fallot underwent surgical correction with ventricular septal defect closure and transannular patch at the age of 16 months. PO was complicated by heart failure and sepsis. He now presents with mild tricuspid regurgitation...

Author

Gianfranco Butera

Author

Mara Pilati
Native RVOT valve implantation - When small is not too small, when young is not too young and when real life is less 'stiff' than percutaneous tools!