CONGRESS ABSTRACT

R. A., 73-year-old female patient with medical history of paroxysmal atrial fibrillation (CHADS2-VASc2 4), hypertension, diabetes and dyslipidemia. She had been admitted to ER because of hematuria, discovering with subsequent exams a papillary carcinoma of the bladder, treated with TURB. Immediately after the procedure a STEMI occurred and pPCI…

BACKGROUND. In resistant renovascular hypertension, blood pressure (BP) reduction after renal revascularization may be less than expected, suggesting that restoration of renal blood flow is not always sufficient to switch off the neurohormonal and sympathetic activation induced by renal artery stenosis. Catheter-based renal denervation (RDN), by modulating renal and…

Background: Recent trials have confirmed the safety and efficacy of catheter-based renal denervation (RDN) as nonpharmacological treatment in resistant hypertension in the presence of concomitant antihypertensive therapy. Aim: we report data of preliminary experience with RDN ( Symplicity Spyral renal denervation system, Medtronic Inc. ) in patients with resistant…

Platypnea-orthodeoxia syndrome (POS) is a rare condition characterized by dyspnea and arterial desaturation in the upright position (orthodeoxia), which resolve or improve in the supine position (platypnea). The pathophysiological mechanism requires two components: an anatomical substrate for a right-to-left shunt, either cardiac—most commonly a patent foramen ovale—or extracardiac, such…

BACKGROUND: aorta-right atrial fistulas are rare extracardiac vascular channels, also termed aortocameral fistulas. Their natural history, clinical presentations, and eligibility for percutaneous treatment remain unclear. CASE SUMMARY: we present the case of a 61-year-old male with an unremarkable medical history who was admitted to the ICU of another centre,…