Advanced interventional cardiac procedures and perioperative care required to prevent the epidemic of end-stage heart disease in Sri Lanka

Under‐deployed TAVI with occluded left‐main and severe aortic regurgitation; bailout chimney‐in‐chimney stenting and aggressive postdilatation saves the day

“…It is important to ensure good immediate outcomes by anticipation of potential complications, in setting up new structural heart intervention programmes to alleviate the growing heart failure epidemic in many countries with aging populations. 5 …”

“…To our knowledge, this situation of chimney‐in‐chimney stenting has only very rarely been described in literature but could be vital to augment radial strength of the chimney in narrow anatomies in emergency situations as per our case. It is important to ensure good immediate outcomes by anticipation of potential complications, in setting up new structural heart intervention programmes to alleviate the growing heart failure epidemic in many countries with aging populations 5 …”