Associazione Nazionale Medici Cardiologi Ospedalieri

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CONGRESS ABSTRACT

CONGRESS ABSTRACT

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One Year Outcome of a novel Self-Expanding TAVR
Anno:
2025
Background and Aim: Transcatheter aortic valve replacement (TAVR) represents the ideal alternative for aortic valve disease in elderly patients. The Navitor valve, a third generation self- expanding valve system from the Portico series, has been designed to minimize TAVR complications, enhancing procedural success and patient outcomes. This study aimed…
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Inverted T-waves and coronary aneurysms: the hidden drama of a routine evaluation.
Anno:
2025
An 82-year-old Caucasian patient was admitted to the surgical department for an endoscopic retrograde cholangiopancreatography due to an ampullary tumor of the Vater's papilla. Medical history includes: active smoking, abdominal aortic aneurysm below the renal arteries and chronic kidney disease. During routine preoperative evaluations, symmetric inverted T waves were…
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Fatal STEMI in Anomalous Origin of the Left Coronary Artery from the Opposite Coronary Sinus
Anno:
2025
A 76-year-old man presented to the Emergency Department with chest pain. Initial ECG revealed an inferior-posterior STEMI complicated by complete atrioventricular block (F1), leading to cardiogenic shock requiring ionotropic support and temporary pacemaker implantation. Echo showed LVEF 40% and akinesia of the mid-basal inferior and posterior walls. Additionally, an…
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A Multidisciplinary Minimally Invasive Strategy for Managing Aortic Stenosis and Renal Carcinoma in a Patient with Multiple Comorbidities: A Case Report
Anno:
2025
We report a case of a 59-year-old male patient with a history of atrial fibrillation, heart failure, LF-LG (low-flow low-gradient) valvular AS (aortic stenosis) “EF 40%, stroke volume index (SVi) 20 ml/m², mean gradient 29 mmHg, aortic valve area (AVA) 0.7 cm², indexed AVA 0.4 cm²”. Dobutamine stress echocardiography…
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A shelter from the storm: surviving cardiogenic shock with Impella support
Anno:
2025
Rationale: This case involves a patient presenting with STEMI complicated by cardiogenic shock and a single episode of ventricular fibrillation. Upon arrival in the cath lab, severe three-vessel coronary artery disease was diagnosed, including proximal LAD occlusion, critical long stenosis of the mid-distal circumflex artery, and proximal RCA subocclusion,…
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ANOMALOUS AORTIC ORIGIN OF THE CORONARIES: A RARE ENTITY?
Anno:
2025
Background: Anomalous aortic origin of coronary arteries (AAOC) is a congenital condition that may affect the main three epicardial coronary vessels. The estimated prevalence of CCAs is variable, ranging from 0.21 to 5.79% based on angiography, CT, autopsy.  Aim and methods: We retrospectively investigated all the angiographies and CTs…
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Valve-in-ring mitral prosthesis implantation in hypertrophic cardiomyopathy
Anno:
2025
CLINICAL CASE: 69-year-old woman underwent myectomy according to Morrow and mitral anuloplasty by complete CE Physio II ring No. 34 in 2015 for severe functional mitral regurgitation; subsequent gradual worsening of left ventricular systolic function and reappearance of mitral regurgitation treated with CRT-D implant, not followed by recovery of left ventricular…
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Safe use of the Impella circulatory support for left main PCI in a patient with severe peripheral artery disease and severe left ventricular systolic dysfunction
Anno:
2025
High-risk percutaneous coronary interventions (PCI) are used to treat patients with severe coronary artery disease (CAD) and significant comorbidities  that make traditional approaches particularly challenging. Patients involved are with multi-vessel disease, at risk for hemodynamic instability, left ventricular dysfunction. In such high-risk cases, maintaining adequate systemic circulation and myocardial perfusion…
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A shocking debulking
Anno:
2025
An 80-year-old male patient was admitted for symptomatic congestive heart failure, presenting with progressive dyspnea (NYHA class III). He has type 2 diabetes and moderate chronic kidney disease, and his cardiological history includes post-infarction dilated cardiomyopathy, permanent atrial fibrillation, and a surgical aortic valve replacement with a bio-prosthesis. An…
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THE UNPREDICTABILITY OF UNSTABLE NON-STENOTIC PLAQUES: NOT EVERYTHING IS VISIBLE TO THE EYES
Anno:
2025
INTRODUCTION: Complications of non-stenotic unstable plaques, such as cracks, erosions, or ruptures, represent an insidious cause of ACS and are sometimes difficult to diagnose without the aid of intracoronary imaging. CLINICAL CASE: A 72-year-old male presented to the emergency department with persistent chest pain associated with cold sweating. His…
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