Hendrik Ruge

Hendrik Ruge

Cardiac surgeon
Deutsches Herzzentrum München - Klinik für Herz- und Gefäßchirurgie - Munich, Germany

Latest contributions

How should I treat this aortic stenosis with small anatomy, low coronary offset and extremely horizontal aorta

16 Jul 2025

An 81-year-old patient with symptomatic severe aortic stenosis, a 74° horizontal aorta, and critically low coronary height—a challenging mix that pushed the heart team to weigh all procedural options. Discover how detailed CT analysis, intra-procedural strategy, and step-by-step imaging assessments guided their approach. What would you...

Author

Birgid Gonska

Featured cases - Combined valve interventions (Part 1)

24 Nov 2024 – From PCR London Valves 2024

Explore a captivating collection of featured cases showcasing the art of combined valve interventions. Witness precision and planning in dual-valve symphony, innovative solutions for complex mitral annular calcification, and unexpected twists where the results defy expectations. Delve into transcatheter approaches for aortic bioprosthesis degeneration, mitral repair...

Featured cases - Combined valve interventions (Part 1)

TAVI - New indications, techniques and devices - Part 2

20 Nov 2023 – From PCR London Valves 2023

Consult this session for a swift overview of evolving TAVI indications and techniques: gain insights into thirty-day outcomes with Evolut FX, stratified by heart team risk, witness the 12-month follow-up of the Valvosoft first-in-man study, uncover sizing considerations in bicuspid tapered aortic valves undergoing TAVI from the...

TAVI - New indications, techniques and devices - Part 2

Complications of mitral valve interventions

19 Nov 2023 – From PCR London Valves 2023

Learn more about the complexities of mitral valve interventions with this selection of cases: witness the challenges posed by clip embolisation during Mitral TEER, delve into the scenario of SAM following TMVI leading to left ventricular outflow tract obstruction, explore the closure of an iatrogenic ASD...

Complications of mitral valve interventions

Complex mitral interventions

19 Nov 2023 – From PCR London Valves 2023

What are the one-year outcomes of transfemoral TMVR? How does TMVI compare with SMVR in elderly patients at intermediate risk? What is the value of mitral ViV and mitral valve-in-ring in high-surgical-risk patients? Find the answers here!

Complex mitral interventions

Other cardiac interventions

19 Feb 2023 – From PCR Tokyo Valves 2023

Explore innovative approaches to cardiac interventions featured at PCR Tokyo Valves 2023: from performing TricValve implantation in Asian patients to addressing unique cases like transcatheter valve replacement with a novel tricuspid bioprosthesis. Discover how these experts navigated challenging scenarios!

Coronary access after TAVI

19 Feb 2023 – From PCR Tokyo Valves 2023

Unlock insights into post-TAVI coronary access. Understand transcatheter aortic valve structure, neo-commissure anatomy, and practical techniques. This session covers topics such as optimising commissure alignment, elective CAG/PCI, ACS, and severe aortic stenosis.

Outcomes of TAVI devices

21 Nov 2021 – From PCR London Valves 2021

This PCR London Valves 2021 session on TAVI compiles the results of various clinical studies conducted on different valve models on the market today and in the future: J-valve, Acurate Neo-2, Perimount P 2900, and many others.

Outcomes of TAVI devices

PCR Tokyo Valves 2020: Selection of the 2020 best clinical cases

16 Feb 2020 – From PCR Tokyo Valves 2020

Consult this session to discover a selection of the best clinical cases presented during PCR Tokyo Valves 2020: unusual cause of coronary artery obstruction after TAVI, simultaneous TAVR-in-TAVR and valve-in-mitral-annular-calcification intervention, paravalvular leak with valve-in-valve TAVR and bioprosthetic ring fracturing, and more!

Selection of the 2020 best clinical cases

Complex TAVI procedures: BASILICA and ring cracking

17 Nov 2019 – From PCR London Valves 2019

Consult this session to discover complex TAVI cases using BASILICA and valve cracking techniques to prevent complications and manage difficult cases, such as: aortic root tricuspidisation, redo TAVI in a failed self-expanding valve, paravalvular leak, and more!

Complex TAVI procedures: BASILICA and ring cracking

Complex TAVI procedures: valve-in-valve

17 Nov 2019 – From PCR London Valves 2019

Consult this session to discover how to manage complex valve-in-valve TAVR, with a selection of clinical cases regarding severe aortic regurgitation in a degenerated aortic homograft, pure regurgitation into an invisible Bentall conduit, and more!

Complex TAVI procedures: valve-in-valve