Associazione Nazionale Medici Cardiologi Ospedalieri

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INFECTIVE ENDOCARDITIS-ASSOCIATED GLOMERULONEPHRITIS (IEAGN): A FEARSOME ENTITY
Anno:
2026
A 55-year-old man was sent to the ED of our hospital from a Nephrology DH for a relapsing-remitting fever dating to almost a year, associated with exertional dyspnoea during mild efforts. He reported a partial response to antibiotic therapy during the past months. His past medical history included hypertension,…
REOPERATIVE ROOT SURGERY FOR DESTRUCTIVE AORTIC BIOPROSTHETIC ENDOCARDITIS: SUB-ANNULAR BENTALL
Anno:
2026
Reoperative aortic root surgery for infective endocarditis (IE) on a bioprosthesis represents one of the most formidable challenges in modern cardiac surgery. This condition is frequently associated with extensive anatomical destruction, including annular involvement, perivalvular abscesses, pseudoaneurysms, or intracardiac fistulae. Consequently, aggressive surgical management is mandatory to eradicate the…
PROGRESSIVE RIGHT HEART FAILURE IN LOEFFLER ENDOCARDITIS: A CASE REPORT
Anno:
2026
We report the case of a 48-year-old male with chronic eosinophilic leukaemia (CEL) complicated by multiorgan damage, including chronic kidney disease (CKD) and liver disease with recurrent ascites. Cardiac follow-up began at CEL diagnosis. The patient remained stable until 2015, when he underwent two atrial tachycardia ablations. Cardiac magnetic…
UNMASKING HIDDEN ENDOCARDITIS: A NON-STANDARD APPROACH TO SAM AND LVOTO MANAGEMENT
Anno:
2026
Introduction: dynamic left ventricular outflow tract obstruction (LVOTO) due to systolic anterior motion (SAM) causes various grades of mitral regurgitation (MR), potentially hiding structural valve disease. Case report: we present a case of an 82-year-old patient admitted to cardiac intensive care unit (CICU) due to cardiogenic shock and acute…
ENDOCARDITIS: A SINGLE DISEASE WITH MULTIPLE DANGEROUS COMPLICATIONS
Anno:
2026
A 51 years-old man presented to the ED for dysarthria and left hemiparesis of sudden onset, dating back to approximately an hour. His past medical history included a deep venous thrombosis, currently under anticoagulant treatment, and a pancreatic cancer with hepatic metastases. Vital signs were normal and the physical…
THE EMBOLIC BURDEN OF ENDOCARDITIS: DIAGNOSIS AND MANAGEMENT OF A RARE SITE OF EMBOLISM
Anno:
2026
A 74-years-old woman presented to the ED referring weight loss and lack of appetite in the last weeks together with a two-days-history of tachycardia unresponsive to supportive therapy at home. No fever was reported. She also complained of worsening left leg pain since a couple of days, which turned…
FROM CONDUCTION DELAY TO COMPLETE BLOCK: ANNULAR ABCSESS IN PROSTHETIC AORTIC VALVE
Anno:
2026
Background: Prosthetic valve endocarditis (PVE) is associated with high morbidity and mortality. Periannular extension with abscess formation is a severe complication that may result in atrioventricular (AV) conduction disturbances due to involvement of the conduction system, often requiring urgent surgical management. Case report: A 75-year-old man, who underwent bicuspid…