Associazione Nazionale Medici Cardiologi Ospedalieri

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AN INCIDENTAL FINDING OF UNROOFED CORONARY SINUS DURING ELECTROPHYSIOLOGICAL STUDY CONFIRMED BY CARDIAC TC. A CASE REPORT.
Anno:
2025
INTRODUCTION Unroofed coronary sinus is a rare congenital heart anomaly and the most unusual type of atrial septal defect with nonspecific clinical manifestations.  CASE REPORT A 73-year‐old woman presented to the Emergency Department for palpitations and chest pain. She had History of recurrent palpitations and a previous access to the Emergency Room with electrocardiogram (ECG) evidence…
PARADOXICAL CEREBRAL EMBOLISM IN TRANSPOSITION OF THE GREAT ARTERIES WITH MUSTARD PROCEDURE
Anno:
2025
BACKGROUND Transposition of the Great Arteries (TGA) is a cyanotic congenital heart defect characterized by an incorrect origin of the great arteries from the cardiac ventricles. Currently, the first-line surgical correction for TGA is the "arterial switch" procedure, which restores the correct positioning of the great arteries. This approach…
QUADRICUSPID AORTIC VALVE: A RARE CONDITION ASSOCIATED WITH OTHER CARDIAC DISEASES
Anno:
2025
INTRODUCTION: Quadricuspid aortic valve (QAV) is a rare congenital anomaly characterized by the presence of four cusps of varying possible dimensions. In symptomatic cases, it typically presents with progressive valve insufficiency, sometimes requiring valve replacement. QAV can be associated with additional congenital heart defects, generally represented by coronary anomalies….
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…