Associazione Nazionale Medici Cardiologi Ospedalieri

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UNUSUAL ASSOCIATION OF HYPERTROPHIC CARDIOMYOPATHY WITH TRANSITIONAL ATRIOVENTRICULAR CANAL DEFECT AND DOWN SYNDROME: A CASE REPORT
Anno:
2025
We present a case of a 41-year-old patient with Down syndrome who was admitted to ED due to worsening dyspnea. Chest X-ray showed pulmonary congestion and an enlarged heart, while echocardiography revealed left ventricular (LV) hypertrophy without outflow obstruction, severe dilation of the right ventricle (RV), and an interatrial…
NEVER TAKE ANITHING FOR GRANTED: AN ANUSUAL CASE OF ISCHEMIA
Anno:
2025
Patient Overview: A 50-year-old female with no family history of cardiac disease, no cardiovascular risk factors, and no significant comorbidities. Since the age of 13, she has been under cardiological follow-up for frequent ventricular extrasystoles. At the age of 36, she was hospitalized for heart failure (HF) and diagnosed…
RIGHT VENTRICULAR DILATATION: A CASE REPORT OF AN UNEXPECTED DIAGNOSIS
Anno:
2025
A 69-year-old man with a history of hypercholesterolemia and frequent episodes of supraventricular extrasystoles and paroxysmal supraventricular tachycardia (PSVT), with echocardiographic evidence of dilation of the right heart chambers without an apparent cause. In 2016, the echocardiogram showed right ventricular dilation, mild tricuspid regurgitation, and pulmonary artery systolic pressure…
A CASE OF RIGHT HEART FAILURE IN ADULT PATIENT WITH EBSTEIN’S ANOMALY AND RIGHT COR TRIATRIATRIUM
Anno:
2025
Introduction: Ebstein's anomaly is a rare congenital cardiac disease, defined as the significant apical displacement of the part of the tricuspid valve due to inadequate delaminization of the tricuspid valve tissue. This condition causes significant tricuspid regurgitation and reduction of the functional right ventricle and right ventricular dilatation. We present a case of…
A RARE CONGENITAL CORONARY ANOMALY IN A MEN ATHLETE: A CASE REPORT
Anno:
2025
Competitive athlete for approximately ten years (endurance sports such as marathons, triathlon, swimming) without cardiac symptoms. Over the years, he has undergone serial Holter ECGs due to ventricular extrasystoles detected during visits. A year ago, during a routine check-up, he was referred for a cardiac MRI, which showed a…
COMPLEX CONGENITAL CARDIAC ANOMALIES IN AN ADULT PATIENT: DIAGNOSIS, SURGICAL MANAGEMENT, AND FOLLOW-UP
Anno:
2025
A 35-year-old male patient presented to the emergency department with recurrent episodes of palpitations. Transthoracic echocardiography (TTE) revealed eccentric left ventricular hypertrophy with mild systolic dysfunction and a suspected ventricular septal defect (VSD) with bidirectional shunt flow. The aortic valve was bicuspid, non-stenotic, and non-regurgitant, while the right ventricle…
RARE ASSOCIATION OF MAHAIM TACHYCARDIA WITH JERVELL-LANGE NIELSEN SYNDROME IN A NEWBORN
Anno:
2025
Background Mahaim type tachycardia is an Atrioventricular re-entrant antidromic tachicardia  in which an accessory pathway establish a direct connection between the atrial tissue and the infra-His conduction tissue (at the level of the right branch of the bundle of His). The accessory pathways is characterized by anterograde decremental conduction…
NOT JUST ANOTHER PULMONARY OEDEMA: A CASE OF ANOMALOUS CORONARY ORIGIN AND COMPLEX VALVE DISEASE
Anno:
2025
Background:  Anomalous aortic origin of coronary arteries (AAOCA) is a rare condition that may occur as an isolated anomaly or with other congenital heart defects. Often asymptomatic, AAOCA can cause myocardial ischemia, arrhythmias, or sudden cardiac death, especially when associated with coronary origin from the opposite sinus of Valsalva…
Optimizing Post-Extubation Management in Pediatric Patients with Congenital Heart Disease: A Retrospective Comparative Study of HFNC and NIPPV
Anno:
2025
After cardiac surgery or percutaneous procedures, pediatric patients often remain intubated upon arrival in the intensive care unit. Literature indicates that 3-27% of pediatric patients are not successfully extubated after cardiac surgery. Following extubation, non-invasive respiratory support methods such as High-Flow Nasal Cannula (HFNC) and Non-Invasive Positive Pressure Ventilation…
COR TRIATRIATUM SINISTER: A SILENT THREAT
Anno:
2025
We present the clinical case of a 22-year-old man practicing competitive sport (sprinter) who underwent an echocardiogram in asymptomatic condition.The patient appeared to be in good health. No previous medical history. No cardiovascular risk factors. Echocardiogram revealed good biventricular function and no valvular diseases; the left atrium appeared moderately…