85 results
How should I treat? - TAVI in bicuspid aortic valve stenosis: tips and tricks for an optimal result
06 Apr 2022
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?

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A patient with multivalvular disease: which approach?
05 Apr 2022
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...

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How should I treat? - How to reduce cardiac conduction disturbance with Sapien 3 valve?
16 Mar 2022
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?

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Unusual case of STEMI - To stent or not to stent or any other alternative?
07 Mar 2022
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.

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How should I treat? - An innovative approach to treat diffuse disease
23 Feb 2022
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.

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How should I treat? - TAVI in small anatomy with significant LVOT calcification
20 Jan 2022
An 89-year-old man was referred for treatment of severe symptomatic aortic stenosis. This case describes the decision-making in performing TAVI in a patient with twin challenges of small annulus and significant LVOT calcification.

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CT-guided Robotic-assisted revascularisation in multi-vessel coronary artery disease
23 Sep 2021
A 67-year-old female with a history of recurrent episodes of chest pain presented at the outpatient clinic. She also had a history of hyperlipidaemia, arterial hypertension, peripheral artery disease, diabetes mellitus type 2 and she was an active smoker.

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How should I treat a fractured microcatheter?
16 Sep 2021
A 80-year old man presented to hospital with an anterior non-ST segment elevation myocardial infarction and acute pulmonary edema... This case describes a fractured microcatheters in calcific coronary arteries/chronic total occlusions.

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Unusual, late presentation of coronary pseudoaneurysm due to stent fracture
21 Jul 2021
View the case of an 85-year-old frail woman with end-stage renal disease, renal replacement therapy, and paroxysmal atrial fibrillation...
Foreign body case: tell us what you see!
21 Jun 2021
Let's try to guess which foreign body was found in a 23-year-old male patient with a diagnosis of lymphocyte-predominant Hodgkin's lymphoma under treatment with chemotherapy, and how it was safely removed.

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