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CASE 01: Complex LAD CTO -Dr.Paul Hsien Kao Li - Dr.Marco Wainstein
This coronary PCI procedure concerns a 51 years old male , with hypertension,dyslipidemia, past medical history of cardiac arrest (ICD), atrial fibrillation and coronary artery disease
Presenting stable angina III CCS with LAD CTO that was attempted 6 months ago .
Strategy Plan
Imaging studies
- Coronary angiography: patent RCA , ostial LAD CTO , JCTO Score :3
- Echo: LV EF 53%
- Nuclear testing :postive ischemia and viability
Clinical indication
- Exertional anginal III CCS and positive viability
Planned Procedure
- Bilateral 8F Femoral access and Retrograde first strategy
CASE 02: Transfemoral Mitral Valve-in-Valve procedure -Dr.George NICKENIG- Dr.Nikos WERNER
This Mitral ViV procedure concerns a 75 years old male , with Chronic kidney disease, atrial fibrillation, CABG and surgical mitral valve replacement 8 years ago.
Presenting Heart failure III NYHA and severe mitral valve prosthesis dysfunction.
Strategy Plan
Imaging studies
- Coronary angiography: patent Grafts
- Echo: LV EF 71%, severe mitral regurgitation (leaflet flail ) PISA:2.1 cm², sPAP:44mmhg
- CT Scann:CE SAV 29mm , Area 430mm²
Clinical indication
- Symptomatic severe mitral regurgitation and comorbidities Log EUROSCORE:10.79%; STS SCORE: 4.97%)
- Heart Team Decision
Planned Procedure
- Tranfemoral Mitral ViV with Edwards Sapien 3 29mm
CASE 03: TAVI in patient with severe septal hypertrophy -Dr.Eberhard GRUBE
This TAVI procedure concerns a 87 years old lady , with Chronic kidney diseaseand coronary artery disease
Presenting Heart failure III NYHA and recurent syncope
Strategy Plan
Imaging studies
- Coronary angiography:Two vessels CAD
- Echo: LV EF 69%, severe Aortic stenosis: Vmax 3.5m/s, Low dose Dobu: 8m/s , septal Hypertrophy with dynamic obstruction
- CT Scann:Area 341.7mm² Perimeter 68mm
Clinical indication
- Symptomatic severe Aortic stenosis with dynamic and comorbidities (Log EUROSCORE:20.94%; STS SCORE: 7.82%)
- Heart Team Decision
Planned Procedure
- Tranfemoral TAVI with 26mm Evolut PRO
Shooting date : 2018-02-22
Last update : 2018-07-12
Last update : 2018-07-12
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Ahmed S. very very interesting cases. many thanks for the operators and panels.
Mohammed H. Excellent case