Cases in Interventional Cardiovascular Medicine: Read & Share cases

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...

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...

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?

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

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...

A 70-year-old male patient was referred to hospital with signs of acute myocardial infarction. Echocardiography confirmed impaired left ventricular function and severe low flow, low gradient aortic valve stenosis. Would you go for surgical aortic valve replacement or transfemoral TAVI?

An 81-year-old lady with past history of surgical aortic valve replacement followed by implantation of dual-chamber permanent pacemaker was admitted for recurrent episodes of right heart decompensations. The echocardiographic evaluation revealed massive TR and moderate primary MR due to a retracted posterior leaflet. What would be...

Conduction disturbances remain the most common complications of TAVI and its main drawback compared to surgery. How would you treat this 82-year-old man, height 1.68 m, weight 112 kg, with peripheral artery disease, who presented with severe aortic stenosis and symptoms of NYHA Class 3 breathlessness?

A 70-year-old gentleman with background of hypertension and smoking presented with STEMI. Coronary angiogram showed ectasia in the mid and distal segment with heavy thrombus burden.

An 81-year-old gentleman with a history of dyslipidemia, hypertension, presenting a new onset of angina and dyspnea in the last 2 years underwent exertional test which resulted positive for ischemia.