Tanvir 🩺

MBBS-GMCA’16 || PGY-2 @UpstateIM_Res || First Gen Doctor || Somewhere between living and dreaming 🤌🏼🫀|| #MedTwitter

[Ankur Kalra @AnkurKalraMD]

We performed Syracuse’s first transcatheter pulmonic valve-in-valve replacement in our catheterization laboratories today. The patient had repaired Tetralogy of Fallot with symptomatic prosthetic pulmonic stenosis.

The fluoroscopy video shows the following steps in that order:

1. Left coronary angiography to define the anatomic relation of left anterior descending coronary artery in relation to the prosthetic pulmonic valve.
2. Right ventricular outflow tract ventriculography.
3. Fracture of the surgical prosthetic valve with a 26-mm Kevlar balloon under aeronautical atmospheric pressure.
4. Coronary artery compression testing with the fully-inflated Kevlar balloon obstructing the right ventricular outflow tract.
5. Transcatheter pulmonic valve-in-valve replacement with a 26-mm balloon-expandable transcatheter heart valve.
6. Fluoroscopy demonstrating final valve position.
7. Final left coronary artery angiogram showing patent left anterior descending coronary artery.

The patient is doing well, and will be discharged to home tomorrow.

October has been a highlight month for the Heart and Vascular Center at @upstatemedical. The team did it all—aortic, mitral, tricuspid, and now pulmonic. The technical growth of our team over the past 15 months has been exemplary.

[Tanvir 🩺 @Tanvir1512]

@jai_sivanandan @UpstateIM_Res @CRT_meeting Thank you Jai! Grateful for the support!🙏🏼

[Tanvir 🩺 @Tanvir1512]

Honored to present our case at #CRT2026. Grateful for the learning experience and the opportunity to learn from leaders in cardiology!🫀 @UpstateIM_Res

[Tanvir 🩺 @Tanvir1512]

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[Tanvir 🩺 @Tanvir1512]

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[Tanvir 🩺 @Tanvir1512]

@Lakshay_Khosla_ Congratulations Lakshay!✨

[Tanvir 🩺 @Tanvir1512]

@ShouldHaveCat @harleyynotquinn

[Tanvir 🩺 @Tanvir1512]

@Sehersenaelagoz Wishing you all the best Seher!💌✨

[Tanvir 🩺 @Tanvir1512]

@Paawanjotkaur @Inside_TheMatch @MatchAResident @ECFMG_IMG @ProjectImg All the best Paawan!!💌🙌🏻✨

[Tanvir 🩺 @Tanvir1512]

@ShouldHaveCat @harleyynotquinn 😿🫶🏼

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@harleyynotquinn @catshouldnt @es4ck 🐾🤧

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@harleyynotquinn @thassxo 👉🏻😔👈🏻

[Tanvir 🩺 @Tanvir1512]

@harleyynotquinn @lilcosmicowgirl 😔😔