CONGRESS ABSTRACT

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…

Introduction: SCAD is an important cause of MI and accounts for up to 35% of ACS. While SCAD due to psychiatric disorders has been reported in the literature, SCAD during the management of drug withdrawal has not. Case report: A 47-year-old male was admitted to the ED of “San Giuseppe Moscati”…

Background. Spontaneous Coronary Artery Dissection (SCAD) is a cause of acute coronary syndrome (ACS), predominantly affecting young women. Optimal management of SCAD, particularly concerning revascularization versus conservative therapy, and the role of pharmacological treatments remains unclear.  Aims. To further investigate the diagnosis and management of this condition and to assess the…

A 76 years old men presented to the Emergency Department with typical chest pain. Past medical history included post-ischemic dilatated cardiomyopathy not revascularized in diffuse atherosclerotic aneurysmatic coronary artery disease, CRT-D for secondary prevention, permanent atrial fibrillation. During the stay in ED, the patient experienced a syncopal episode. CRT-D interrogation…

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…

Rationale A patient with a history of alcohol abuse presented to the emergency room with band-like abdominal pain, melena, and severe acute anemia. After blood transfusion and urgent esophagogastroduodenoscopy revealing multiple duodenal hemorrhages (treated with adrenaline hemostasis), the patient was transferred to the intensive care unit (ICU). In the…

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…

A 71 years old patients with an history of CABG with LIMA (left internal mammary artery) to LAD (left anterior descending artery) 20 years ago and multiple PCI was admitted to our department for prolonged rest angina (more than one hour) and vomit. The previous week he suffered from…

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,…