Associazione Nazionale Medici Cardiologi Ospedalieri

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CONGRESS ABSTRACT

CONGRESS ABSTRACT

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HEART TRANSPLANTATION IN NON-OPERABLE MULTIPLE GIANT CORONARY ARTERY ANEURYSMS: A CASE REPORT
Anno:
2026
Background Coronary artery aneurysms (CAA) are uncommon (0.3–5% in angiographic series). Giant forms—defined as dilations >8 mm or >4× the normal adjacent diameter—are exceptional and lack standardized management. In adults with complex anatomy, therapeutic options (medical, percutaneous, or surgical) may be limited. To date, no cases of heart transplant…
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COMBINED TRANSFEMORAL AORTIC VALVE REPLACEMENT AND MINIMALLY INVASIVE DIRECT CORONARY BYPASS GRAFTING – A GOOD CHOICE FOR SELECTED HIGH-RISK PATIENTS
Anno:
2026
Background Severe aortic stenosis (AS) and coronary artery disease (CAD) commonly coexist in elderly patients and pose a therapeutic challenge, particularly in the presence of frailty and high surgical risk. Conventional surgical approach may be associated with prohibitive perioperative risk, whereas a fully percutaneous strategy may be limited by…
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CLINICAL AND ECHOCARDIOGRAPHIC FEATURES AND OUTCOMES IN A COHORT OF LVAD-SUPPORTED PATIENTS: A SINGLE-CENTER RETROSPECTIVE STUDY
Anno:
2026
Background: Left ventricular assist devices (LVADs) are an established therapy for advanced heart failure, yet long-term outcomes remain heterogeneous. Identifying the main predictors of mortality, heart transplantation, and hospitalization is essential to improve post-implant management. Methods: We conducted a single-center, retrospective observational study including adult patients who underwent LVAD…
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ROLE OF NON-INVASIVE BIOMARKERS AND CORONARY INTRAVASCULAR IMAGING IN PREDICTING CARDIAC ALLOGRAFT VASCULOPATHY (CAV) DETECTED BY CORONARY ANGIOGRAPHY
Anno:
2026
Background: Cardiac allograft vasculopathy(CAV) is the most common form of late rejection after heart transplantation.Early detection and monitoring of CAV are crucial for improving long-term outcomes.Aim of this work is to investigate pros/cons of each imaging modality and the potential of selected non-invasive biomarkers in predicting the presence and…
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THE RISK OF ACUTE KIDNEY INJURY AND ELECTROLYTE DISORDERS IN CARDIAC SURGERY IN RELATION TO THREE DIFFERENT TYPES OF CARDIOPLEGIC SOLUTION: A RETROSPECTIVE ANALYSIS
Anno:
2026
Background and Aim: Cardioplegia is a pharmacological approach essential for heart protection from ischemia–reperfusion injury. Acute kidney injury (AKI) is a serious complication after cardiac surgery. We sought to determine the possible onset of AKI in patients undergoing cardiac surgery with different cardioplegic solution during extracorporeal circulation including Custodiol…
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SMALLER ATRIUM, BETTER RHYTHM: LEFT ATRIAL VOLUME REDUCTION AFTER HOCM SURGERY
Anno:
2026
Introduction: Atrial fibrillation (AF) in hypertrophic obstructive cardiomyopathy (HOCM) is a negative prognostic factor in patients undergoing surgical correction. A precursor sign of AF is an increase in indexed left atrial volume (iLAVol, ml/m 3 ). We aimed to analyze the impact of HOCM surgery on iLAVol and the…
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N-ACETYLCYSTEINE IN ADULT CARDIAC SURGERY: AN UMBRELLA REVIEW OF RANDOMIZED EVIDENCE ON POAF AND AKI
Anno:
2026
BACKGROUND Postoperative atrial fibrillation (POAF) and acute kidney injury (AKI) remain frequent complications after adult cardiac surgery. N-acetylcysteine (NAC) has antioxidant and anti-inflammatory properties, but clinical results have been heterogeneous. METHODS We conducted an umbrella review of meta-analyses of randomized controlled trials (RCTs) evaluating perioperative NAC in adult cardiac…
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CONTEMPORARY RESULTS OF HM3 LVAD FOR ADVANCED HEART FAILURE: A MULTICENTER ITALIAN EXPERIENCE
Anno:
2026
BACKGROUD: Research and expert consensus indicate that durable mechanical circulatory support ( d MCS) with Left Ventricular Assist Device (LVAD) therapy is significantly underestimated and underutilized in Italy compared to other European countries and North America. Our retrospective multicenter experience aims to describe the current state of art in…
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SURGERY OF COMPLEX INFECTIVE ENDOCARDITIS: TECHNIQUES AND MEDIUM-TERM RESULTS
Anno:
2026
Background. Complex aortic valve endocarditis is one of the most feared complications of infectious endocarditis and, despite early diagnosis and treatment, it is still associated with a high rates of mortality and morbidity. Multicenter studies report 15-20% of in-hospital mortality and 40% of one-year mortality rate after surgery. It…
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IMPROVING MORTALITY PREDICTION IN CARDIAC SURGERY: A BAYESIAN ENSEMBLE APPROACH BEYOND EUROSCORE II
Anno:
2026
Background Risk stratification in cardiac surgery is of utmost importance for informed consent and for the heart team decision. While EuroSCORE II is widely used, it overlooks intraoperative factors such as ischemic and reperfusion times that can substantially affect outcomes. This study evaluates a Bayesian ensemble approach that integrates…
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