Cases in Interventional Cardiovascular Medicine: Read & Share cases

Recurrent strokes despite anticoagulation, a failed first attempt at left atrial appendage closure (LAAC), and a challenging small chicken-wing anatomy: this case brings together several factors that complicate procedural planning and device selection.

In a 65-year-old woman with paroxysmal atrial fibrillation, pre-procedural TOE and CT imaging highlighted...

Iatrogenic coronary dissection is a rare but potentially life-threatening complication of PCI. Its management can be challenging, particularly when antegrade wiring fails and flow is compromised, requiring escalation to advanced bailout strategies.

An 80-year-old woman was referred for persistent right heart failure despite previous surgical mitral repair and subsequent transcatheter tricuspid intervention. Over time, she developed progressive symptoms with recurrent severe tricuspid regurgitation, refractory to optimised medical therapy.

Multimodality imaging confirmed significant right-sided chamber dilatation and complex valve anatomy,...

Severe tricuspid regurgitation is no longer a bystander disease.

In this elderly patient with persistent symptoms despite optimised medical therapy, a comprehensive multimodality assessment becomes key to determining the right timing and the most appropriate transcatheter strategy.

A 69-year-old woman with severe symptomatic aortic stenosis (NYHA III) and complex comorbidities, including three-vessel coronary artery disease, advanced COPD, and peripheral artery disease, presents with progressive dyspnoea despite recent PCI. How would you treat this patient?

A 74-year-old woman with carcinoid syndrome develops progressive NYHA III dyspnoea and marked fatigue, despite well-controlled systemic symptoms. Echocardiography reveals torrential tricuspid regurgitation with carcinoid valve involvement, while surgical risk is deemed high due to age, frailty, and systemic disease. How would your Heart Team approach this...

A 68-year-old woman presents with symptomatic aortic stenosis and tricuspid valve anatomy, with no significant comorbidities and no evidence of coronary artery disease. Given her strong preference for a less invasive strategy, the Heart Team considers a transcatheter approach.
How would you treat this patient—and in case...

This case explores the management of severe mitral regurgitation and torrential tricuspid regurgitation in a 71-year-old patient with a complex cardiovascular history.

Managing mixed mitral valve disease is particularly challenging in patients with prior chest irradiation and extensive calcification.

A 40-year-old man presents with severe symptomatic MR, renal impairment, and an unusual eggshell-like left atrium. Imaging reveals complex mitral anatomy and critical constraints for transcatheter therapy.

How would you approach...

A 79-year-old patient previously treated with surgical aortic valve replacement was referred after an episode of acute cardiac decompensation. Although clinically stabilised, further evaluation revealed degeneration of the bioprosthesis, and mixed aortic valve pathology.

This case focuses on the diagnostic assessment and the strategic considerations guiding the...