Associazione Nazionale Medici Cardiologi Ospedalieri

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CONGRESS ABSTRACT

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CLIPPING THROUGH A MIRROR: MITRAL-TEER IN A DEXTROCARDIA. Key words: congenital heart disease, percutaneous valve therapy, Mitral-TEER
Anno:
2025
Case presentation. We reported an 86 years-old-man suffering from situs viscerum inversus totalis (Fig. 1), diabetes mellitus type 2, COPD, previous aortic valve replacement with Hancock 25 mm stented prosthesis and Vascutek 28 mm prosthesis for dissecting aneurysm of the ascending aorta. He was referred to our hospital for…
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ANOMALOUS CIRCUMFLEX CORONARY ARTERY AND HEREDITARY HEMORRHAGIC TELANGIECTASIA: THE PERFECT INGREDIENTS FOR A STENT THROMBOSIS
Anno:
2025
Anomalous circumflex coronary artery (ACCA) is a rare condition where the origin of the left circumflex artery (LCx) is in the right sinus of Valsava (RSV) or in the proximal right coronary artery (RCA). Part of the group of congenital coronary anomalies (CCA), these anatomical variants carry in some…
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AN INSIDIOUS CASE OF DYSPNEA: THE CHALLENGE OF EXPLORING A TUNNEL
Anno:
2025
First described in the mid-20th century, platypnea-orthodeoxia syndrome (POS) is a rare condition characterized by positional shortness of breath and low blood oxygen levels. These features are triggered by standing and alleviated by clinostatism. It is most often linked to right-to-left shunting through a patent foramen ovale (PFO) or…
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Transcatheter aortic valve implantation for pure insufficiency in the setting of acute heart failure
Anno:
2025
Background and Aim: Patients affected by acute heart failure with associated severe valvular heart disease exhibit poor prognosis with early reduced late survival. Bridge strategies have been used to stabilize patient in order to perform to the surgical treatment or HTX in best achievable clinical condition. Data on TAVR as bridge…
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Coronary revascularization in a hemophilic patient: mast the challenge
Anno:
2025
Background: Acute coronary syndrome in patients with hemophilia is a rare but challenging scenario since a double high risk of thrombotic and bleeding complications has to be faced (fig.1). Case report: We present the case of a 64-years-old man admitted to our department for NSTEMI with a mildly reduced left ventricle ejection…
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Device related thrombosis in a case of left atrial appendage closure
Anno:
2025
Clinical case An 83-year-old woman with a hypertension, dyslipidemia and primary biliary cirrhosis, presented, several years ago, an acute myocardial infarction treated with PCI on anterior descending artery (LAD). In the following years due to persistent inducible ischemia and chest pain, she underwent another PCI with stenting of circumflex…
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Postinfarction ventricular septal defect: the percutaneous approach in fragile patients.
Anno:
2025
Case description: A 57-year-old patient with a history of systemic hypertension, smoking, and type 2 diabetes mellitus presented to the emergency department with chest pain of approximately 2 days' duration. ECG showed ST-segment elevation in the anterior leads and elevated cardiac necrosis markers. Transthoracic echocardiography revealed moderately reduced global…
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META-ANALYTIC REVIEW OF PERIOPERATIVE INFARCTION AFTER CARDIAC SURGERY
Anno:
2025
INTRODUCTION:   Perioperative infarction (PMI) after cardiac surgery is a non-rare event requiring complex multidisciplinary management. The Third Universal Definition of MI defines type 5 MI as an elevation of cardiac troponin values ​​>10× 99th percentile during the first 48 h following CABG surgery. PMI often requires coronary angiography…
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MANAGING SEVERE AORTIC STENOSIS AND ATRIAL FIBRILLATION IN A FRAIL OCTOGENARIAN WITH HIGH SURGICAL AND BLEEDING RISKS: A CASE REPORT
Anno:
2025
An 80-year-old male with multiple comorbidities (Charlson Comorbidity Index: 14), including paroxysmal atrial fibrillation, HFmrEF (NYHA III), cardiac amyloidosis due to multiple myeloma, transvenous ICD for primary prevention, COPD, multifactorial anemia, thrombocytopenia, advanced chronic liver disease with recurrent esophagogastric variceal hemorrhage (F3 varices), and CKD (KDIGO G3b), presented with low-flow, low-gradient…
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Contemporary use of coils during percutaneous coronary intervention: from the multicenter COILSEAL registry
Anno:
2025
Background. Use of coils during percutaneous coronary interventions (PCI) is sometimes life-saving and useful although currently off-label and with unknown clinical outcomes Objectives. To report and compare in-hospital and long-term outcomes of patients undergoing coils implantation for treating coronary perforation or closing coronary aneurysms/fistulas. Methods. Among 245.652 PCIs performed in 17 high-volume…
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