medInria is a free medical imaging software developed at Inria, which aims at providing clinicians with state-of-the-art algorithms dedicated to medical image processing and visualization. Efforts have been made to simplify the user interface, while keeping high-level algorithms. In this particular article, we will concentrate on its use in preoperative preparation for cardiac interventions, and how we handle the difficulties arising from the lack of standard format for data types such as meshes or fibers, the absence of a common programming interface for data processing algorithms, notably registration, and the issues of visualisation where display conventions would be beneficial.