Case: An 81-year-old man was referred to this institution with New York Heart Association Class III dyspnoea. Echocardiography revealed severe aortic stenosis with normal left ventricular function. Coronary angiography revealed a heavily calcified, severe distal left main coronary artery (LMCA) stenosis, which did not extend into the left anterior descending (LAD) or left circumflex artery (LCx). Femoral access was contraindicated, due to the presence of an infrarenal abdominal aortic aneurysm. Percutaneous aortic balloon valvuloplasty and coronary intervention were subsequently performed via 9-Fr sheath in the right brachial artery accessed through surgical cutdown.

A 57-year-old Australian man was retrieved to The Prince Charles Hospital from the Asia-Pacific region after a complicated anterior ST-elevation myocardial infarction (STEMI). During a routine primary percutaneous coronary intervention (PCI) for an occluded proximal left anterior descending (LAD) artery, a large amount of air was injected to the left coronary system.

Introduction: Coronary artery aneurysms are rare and present a unique challenge to the interventionist. Rheolytic thrombectomy is a well-established technique for intervention on native coronary arteries or vein grafts with heavy thrombus burden. Its use in patients with coronary aneurysm is less well described.

Introduction: Assessment of regional variation in left ventricular (LV) strain from base to apex by two-dimensional speckle tracking imaging assists in differentiating underlying cardiac pathology in patients with LV wall thickening. The spectrum of differential LV strain in patients with aortic stenosis and cardiac amyloidosis in comparison with normal population is presented.

Background: Paravalvular leak (PVL) is a serious but infrequent complication after surgical valve replacement. Approximately 5% of all patients with PVL after surgical valve replacement require intervention. The aim of this study was to compare the safety and efficacy of percutaneous vs surgical correction of PVL.

Background: Elevated body mass index (BMI) is a known cardiovascular risk factor. Anecdotally, super obese patients have less coronary artery disease (CAD). The aim of this study was to assess the incidence of CAD in the super obese population.

Background: There are limited data describing the use of the Edwards Sapien 3 in transcatheter pulmonary valve implantation (TPVI) for right ventricular outflow tract (RVOT) dysfunction.

GLS has been reported to improve after successful implantation of a transcatheter aortic valve implantation (TAVI). Concern has been raised that the significant left ventricular (LV) wall thickening in patients with severe symptomatic aortic stenosis may represent an unrecognised senile cardiac amyloid, which may influence improvement of LV function post–TAVI.

Background: Radiation safety is an integral component of cardiac interventions. Monitoring radiation dose is mandated, and efforts should be made to keep dosage as low as reasonably achievably (ALARA principle). During emergency primary percutaneous coronary intervention (PCI), the operator's focus is towards patient safety and well-being, and their personal radiation safety may be compromised.