In this engaging discussion, lipid scholars Oby Ibe from Temple University and Elizabeth Epstein from Scripps Clinic, along with expert Jessica Pena, dive into a complex case of a 63-year-old man with elevated lipoprotein(a) levels and multiple cardiovascular risks. They explore the case's twists, including a flail mitral valve and pulmonary edema. The conversation also highlights advancements in cardiovascular risk assessments and the importance of personalized treatment strategies, showcasing the vital role of mentorship in shaping future lipidologists.