Challenging Cases

Christine Twomey, age 75 years. I retired from nursing five years ago due to shortness of breath. I had an angiogram and I needed a stent to my right coronary artery. I had same. It was unsuccessful. Re-stented failed. I had to have bypass operation and also mitral valve repair.
I went to Dublin Mater Private Hospital “Too risky for C.U.H.” in March 2010.

I had an ICD implanted at the Bons Secours hospital but the third lead proved very difficult due to the way my mitral valve was repaired.
I was in and out of the Bon Secours Hospital with heart failure. Finally, I was seen by Dr. Maheshwar Pauriah in October 2014. He was able to insert 3rd lead via a different route.
Since then I have a new lease of life. I am able to do all my home work, walk 1-2 miles daily, look after the horses and drive the tractor etc. As I did before without being breathless.


Recurrent shocks due to VT in a patient with ICD and ischaemic cardiomyopathy.

Atrial Tachycardia in a patient with previous AF ablation

VT is a patient with ARVC

Incessant Atrial tachycardia/ Af in a patient with Mitral Valve replacement