Another edition of the COMPLEX...
Excellent spirit of sharing complex cases in a relaxed way. Congratulations to @jsmarques_MD and @Manuel_O_Santos for the special awards.
87y woman with UA. Past history of Ao biological prosthesis in 2014 and ViV (sapiens 23mm) in 2022, with coronary protection (chimney technique- LM 5mm high).
Non-selective angiography was done... Suggested AngioCT and heart team discussion!#UnicCHUC#CardioCHUC
Another great session of coronary assessment with acetylcholine. A patient with long term symptoms and recurrent admissions for chest pain. Will likely improve with vasodilators and stopping chronic use of betablockers. Thanks to our great team @Manuel_O_Santos , @Martins_JLC
82-year-old male with bicuspid aortic stenosis, severe calcification (more than 10.000 calcium score!) with great extension to the LVOT, 26.6mm annulus diameter, horizontal aorta having an angle >80º. What would be your strategy? #CardioCHUC#TAVI
#2
70 yo Male severe LVEF depression with no known previous MI. Patient complained of shortness of breath. Referred to the Cath Lab after angioCT.
#CardioCHUC@luisvpaiva@VnG_90
70 yo Male severe LVEF depression with no known previous MI. Patient complained of shortness of breath. Referred to the Cath Lab after angioCT. Your thoughts? 🧐
#CardiOCHUC#luisvpaiva#VnG_90