Matjaz Bunc

Interventional cardiologist / Cardiologist
University Medical Centre Ljubljana - Ljubljana, Slovenia

Latest contributions

TAVI valve-in-valve - Paravalvular leak management & complex anatomies

17 Nov 2025 – From PCR London Valves 2025

This session explores the complexities of valve-in-valve TAVI procedures, with a focus on managing paravalvular leaks in failed bioprosthetic valves. It covers challenging cases where surgery is not an option, intricate anatomical considerations, differential diagnosis of paravalvular leaks, and strategies for redo TAVI interventions to optimize...

TAVI valve-in-valve - Paravalvular leak management & complex anatomies

TAVI: complex vascular access - Part 2

17 Nov 2025 – From PCR London Valves 2025

Focus on complex vascular access challenges in TAVI with this session covering strategies such as the pave and crack technique for inaccessible vessels, management of bicuspid aortic stenosis with hostile access and horizontal aorta, complex single transfemoral access procedures, and combined interventions including left atrial appendage...

Align for the future with next gen Myval transcatheter heart valve series

16 Nov 2025 – From PCR London Valves 2025

Discover how the latest Myval transcatheter heart valve (THV) innovations are shaping TAVI outcomes. This PCR London Valves 2025 session highlights the clinical evidence behind the next-gen Myval THV series, best practices for implantation, and upcoming innovations set to improve patient care. Learn step-by-step techniques for deploying Myval...

Align for the future with next gen Myval transcatheter heart valve series

TAVI coronary access

22 May 2025 – From EuroPCR 2025

Gain expertise in managing coronary access challenges in TAVI patients. This session discusses when and how to treat coronary lesions in TAVI candidates, strategies to facilitate coronary approach post-TAVI, and long-term outcomes with practical tips through illustrative cases including primary PCI after CoreValve implantation and valve-in-valve...

TAVI coronary access

TAV-in-TAV in SAV 3 valves procedures

21 May 2025 – From EuroPCR 2025

Examine the complexities of TAV-in-TAV procedures in degenerated surgical aortic valves (SAV) and TAVI valves. This session discusses cases involving massive aortic regurgitation, lifetime management challenges, and valve-in-valve-in-valve scenarios, providing practical insights into managing multiple valve interventions and associated complications.

TAV-in-TAV in SAV 3 valves procedures

The Landmark RCT - One-year results

21 May 2025 – From EuroPCR 2025

This session presents a detailed analysis of a landmark randomized controlled trial evaluating the Myval transcatheter aortic valve implantation (TAVI) system among other contemporary transcatheter valves. The discussion centers on one-year clinical outcomes, with a particular focus on women, patients with small aortic annuli, and those...

The Landmark RCT - One-year results

Rapid-Fire - TAVI-in-TAVI (Part 2)

26 Nov 2024 – From PCR London Valves 2024

Delve into a rapid-fire session showcasing selected clinical cases from PCR London Valves 2024, focusing on TAVI-in-TAVI procedures. Discover insights into unexpected complications, such as coronary artery occlusion, and explore the comparison of hemodynamic valve deterioration processes between self-expanding and balloon-expandable THVs. Learn about procedural planning...

Rapid-Fire - TAVI-in-TAVI (Part 2)

Featured cases - TAVI in challenging annular anatomy

25 Nov 2024 – From PCR London Valves 2024

Featured cases - TAVI in challenging annular anatomy

Featured cases - TAVI in SAVR (Part 1)

24 Nov 2024 – From PCR London Valves 2024

Delve into a collection of compelling TAVI cases involving prior surgical aortic valve replacement (SAVR). Witness the nuances of valve-in-valve TAVI, including the importance of pre-dilation and the challenges of uncrossable valves. Gain insights into managing severe aortic regurgitation in failed bio-Bentall procedures and navigating TAVI...

Featured cases - TAVI in SAVR (Part 1)

Featured cases - TAVI nightmares (Part 1)

24 Nov 2024 – From PCR London Valves 2024

Featured cases - TAVI nightmares (Part 1)

Rapid-fire - TAVI

24 Nov 2024 – From PCR London Valves 2024

Dive into this rapid-fire session showcasing selected PCR London Valves 2024 Clinical Cases submissions related to TAVI. Explore diverse and challenging TAVI scenarios, including TAVI in patients with cardiogenic shock, pure aortic regurgitation, and patient-prosthesis mismatch. Gain insights into troubleshooting techniques and strategies for navigating complex...

Rapid-fire - TAVI

ACS: how to approach special clinical scenarios

17 May 2024 – From EuroPCR 2024

This session focuses on the management of acute coronary syndrome (ACS) in special clinical scenarios. It covers topics such as treating ACS with multivessel disease, managing an ACS and unstable patient, and addressing subacute myocardial infarction. The session features case presentations and discussions, providing insights and...

ACS: how to approach special clinical scenarios

Transcatheter solutions for combined valve disease

17 May 2024 – From EuroPCR 2024

This session delves into the transcatheter management of patients with combined valve disease, including cases of concomitant aortic stenosis and mitral regurgitation, failed bioprostheses in both the aortic and mitral valves, and severe aortic regurgitation after previous valve-sparing root replacement. The session features case presentations and...

Transcatheter solutions for combined valve disease

Complications in CTO: is there a bailout?

16 May 2024 – From EuroPCR 2024

Watch this session on CTO complications and explore unique challenges and solutions, including a retrograde CTO technique with a twist, an unexpected outcome in a right coronary artery case, and an atypical perforation caused by an unexpected equipment issue. You’ll also see how a guide wire...

Complications in CTO: Is there a bailout?

TAVI in cardiogenic shock

15 May 2024 – From EuroPCR 2024

TAVI in cardiogenic shock

Aortic valve-in-valve or TAV-in-TAV challenges

15 May 2024 – From EuroPCR 2024

This session comprises selected EuroPCR 2024 Clinical Case submissions focused on the challenges of aortic valve-in-valve or TAV-in-TAV procedures. The session will feature various complex cases, including when even two surgeries are not enough, resilient rhythms in geriatric resurgence, valve-in-valve TAVI for degenerated small surgical bioprosthetic...

Aortic valve-in-valve or TAV-in-TAV challenges

LANDMARK RCT - Early outcomes of a randomised non-inferiority trial comparing TAVI devices: the LANDMARK trial

15 May 2024 – From EuroPCR 2024

This session provides an overview of the early outcomes of the LANDMARK trial, a randomized non-inferiority trial comparing TAVI devices. It examines baseline characteristics, the significance of intermediate sizes according to MSCT recommendations, real-world representative cases from the LANDMARK RCT, insights from quantitative aortography and echocardiography...

TAVI - Coronary complications

21 Nov 2023 – From PCR London Valves 2023

Explore challenging situations in this session: witness the rare occurrence of coronary embolization resulting from a fractured biological surgical valve in an aortic valve-in-valve procedure, uncover the complexities surrounding the late presentation of cardiogenic shock after TAVR, navigate the unusual challenge of intermittent left main obstruction caused...

TAVI - Coronary complications

Coronary imaging in the structural cathlab

21 Nov 2023 – From PCR London Valves 2023

If you still have any doubts, take a look at the presentations in this PCR LV 2023 session to be convinced of the importance of imaging, particularly IVUS, pre-, during and post-TAVI! It helps to prevent coronary artery occlusions, manage post-TAVR complications and guide rotablation, to name...

Coronary imaging in the structural cathlab

Rapid-fire - Challenging TAVI procedures - Part 5

21 Nov 2023 – From PCR London Valves 2023

Discover challenging TAVI scenarios in this session: experience the challenges posed by a small annulus with anomalous coronary arteries, delve into the Mitroflow Valve-in-Valve TAVR procedure, witness a unique approach to TAVI in a patient with a mechanical mitral valve, and more!

Rapid-fire - Challenging TAVI procedures - Part 5

Rapid-fire - Challenging TAVI procedures - Part 3

20 Nov 2023 – From PCR London Valves 2023

TAVI - Coronary protection strategies

20 Nov 2023 – From PCR London Valves 2023

Consult this session for key insights into diverse coronary protection approaches: get a look at the management of a complex case involving a degenerated aortic bioprosthesis and paravalvular leak, observe a successful TAVI in calcified bicuspid anatomy with low coronaries, delve into a case featuring a degenerated...

TAVI - Coronary protection strategies

TAVI - New indications, techniques and devices - Part 3

20 Nov 2023 – From PCR London Valves 2023

Explore the latest in TAVI with this selection of abstracts: witness the application of valve-in-valve TAVI for failed sutureless surgical bioprostheses and gain insights from the analysis of the use and performance of the Evolut FX transcatheter aortic valve system. 

TAVI - New indications, techniques and devices - Part 3

TAVI: preventing coronary obstruction

18 May 2023 – From EuroPCR 2023

Explore the strategies to prevent coronary obstruction during TAVI procedures and learn valuable insights to enhance patient outcomes in this session: witness the challenges faced in valve-in-valve cases with a high risk of this complication, discover the utilization of dedicated splitting devices as a proactive measure to mitigate...

TAVI: preventing coronary obstruction

Valve-in-valve procedures - Part 2

18 May 2023 – From EuroPCR 2023

Embark on a captivating exploration of a challenging valve-in-valve case, where a non-retractable self-expandable aortic prosthetic valve presents a unique complication by deeply opening within the left ventricle, and witness the successful management of this complex scenario.

Valve-in-valve procedures - Part 2

Valve-in-valve procedures - Part 1

18 May 2023 – From EuroPCR 2023

Discover the innovative solutions offered by valve-in-valve procedures in this session: witness the successful application of this technique in a patient with heparin-induced thrombocytopenia, explore a captivating case series showcasing valve-in-valve TAVI in failed Perceval bioprostheses, delve into the complexities of TAVR in SAVR in IIIb type...

Valve-in-valve procedures - Part 1

Increase the complexity: multivalvular coronary interventions

17 May 2023 – From EuroPCR 2023

Investigate the increasing complexity of multivalvular coronary interventions in this insightful case-based presentation. Witness the complex challenges faced and discover the innovative approaches used to navigate the complex procedures.

Multivalvular coronary interventions

Complex TAVI procedures

16 May 2023 – From EuroPCR 2023

This session presents 3 complex cases and explains how to treat them: aortic stenosis presenting double trouble, complex CAD and severe bioprosthetic aortic regurgitation, and SW ballooning and bulboventricular foramen for TAVI optimisation

Complex TAVI procedures

Rapid-fire clinical cases: Session 7

29 Nov 2022 – From PCR London Valves 2022

Consult this session to discover a selection of abstracts presented during PCR LV 2022: simultaneous transcatheter edge-to-edge repair of mitral and tricuspid valve, transcatheter valve implantation in mitral and tricuspid valve position, TEER failure in mitral and tricuspid position: troubleshooting approach for a rare but still eventful case,...

Rapid-fire clinical cases: Session 7

Rapid-fire abstracts: Session 9

28 Nov 2022 – From PCR London Valves 2022

Consult this session to discover a selection of abstracts presented during PCR LV 2022: impact of different aortic valve calcification pattern on the haemodynamic performance of self-expanding intra-annular transcatheter heart valve, device failure in bicuspid aortic stenosis following TAVR, the learning curve and clinical outcomes in...

Rapid-fire abstracts: Session 9