Valve-in-valve TAVI

“Emergency LM PCI with ‘chimney technique’ to treat coronary artery occlusion after valve-in-valve TAVI” Awarded as one of the top 5 cases during PCR London Valve 2016 Roberto Nerla – Fausto Castriota – Alberto Cremonesi Patient description: 77 years old male with previous aortic valve replacement (MItroflow n.23 2009) presenting with significant bioprosthesis degeneration (severe […]

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PCI in a complex anatomy

“PCI to treat right coronary artery CTO : a matter of support” Patient description 69 years old male with CCS 3 angina and a previous unsuccessful attempt of PCI to treat RCA chronic total occlusion at a different center was referred to us. Initial situation Coronary angiogram revealed a ‘stump’ occlusion of the very proximal […]

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Valve-in-valve TAVI – Leak

“Valve-in-valve TAVI and paravalvular leak closure: who should we hit first?” Patient description: 65 years old male with recurrent pulmonary oedema and evidence of surgical bioprosthesis (Perimount Magna n.25, 2008) degeneration consisting of severe stenosis (grad 84/58 mmHg) and severe paravalvular and intraprosthetic regurgitation. Initial situation: TEE showing severe intraprosthetic and paravalvular regurgitation as evidence […]

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LAAO in a patient with Dextrocardia

“Working in the mirror: left atrial appendage occlusion in a patient with dextrocardia” Patient description: 63 years old female with history of paroxismal atrial fibrillation under OAC was referred to us for left atrial appendage closure due to a previous severe eye bleeding for haemorrhagic macular degeneration. Initial situation: Chest X-ray showed a mirror-image dextrocardia […]

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Amplatz for Mitraclip

“Left Amplatz catheter to place Mitraclip in a patient with asymmetrical tethering” Patient description: 53 years old male with dilated cardiomyopathy (NYHA IV, EF 25%) Initial situation: Your browser does not support the video tag. TEE showing severe left ventricular dysfunction and severe mitral regurgitation with asymmetrical tethering making predictable a difficult grasping of the […]

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