Join us in an enlightening conversation hosted by Dr. Steven Yakubov with Dr. Guilherme Attizzani, the director of the Structural Heart Program at University Hospitals in Cleveland, Ohio, and a professor of medicine at Case Western Reserve School of Medicine. Dr. Attizanni shares his inspiring journey from Brazil to becoming a leading figure in cardiology. Discover how his unique experiences and dedication have shaped his approach to post-tab coronary access and lifetime management. In this episode, Dr. Attizzani discusses his strategic efforts to build a successful structural heart program, overcome challenges, and foster relationships with referring physicians. He highlights the importance of creating a concierge service for patients and referring doctors and emphasizes the vital role of nurse navigators in delivering exceptional care. Dive into Dr. Attizzani's groundbreaking academic pursuits, including his work on coronary access post-TAVR implantation and innovative strategies for the lifetime management of aortic valve patients. Learn about his involvement in pivotal clinical trials and his contributions to optimizing resources and procedures in interventional cardiology. Explore the future of aortic valve interventions as Dr. Attizzani shares his vision for enhancing coronary access, customizing procedures, and addressing the challenges of TAV-IN-TAV interventions. This episode offers valuable insights for medical professionals and anyone interested in the advancements shaping the field of cardiology.