Associazione Nazionale Medici Cardiologi Ospedalieri

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LAUBRY-PEZZI SYNDROME IN AN 18-YEAR-OLD MALE: A CASE REPORT
Anno:
2026
Background. Laubry-Pezzi syndrome is a rare congenital heart disease characterized by the association of a ventricular septal defect (VSD) and aortic regurgitation. Clinical presentation is heterogeneous, and imaging is often crucial for diagnosis . Case description. An 18-year-old Gambian male with no previous cardiac or family history presented to…
WHEN ATRIAL FIBRILLATION IS NOT JUST AN ARRHYTHMIA: CARDIAC ANGIOSARCOMA PRESENTING WITH PERICARDIAL EFFUSION
Anno:
2026
Atrial fibrillation (AF) is rarely the initial manifestation of an underlying cardiac malignancy and persistent pericardial effusion (PE) after AF ablation should prompt further investigation. A 67-year-old man underwent catheter ablation for symptomatic AF without complication or acute PE. 3 months later he developed fever and progressive dyspnea with…
ISOLATED CHORDAL RUPTURE CAUSING FLAIL TRICUSPID LEAFLET AND TORRENTIAL TRICUSPID REGURGITATION: A RARE CAUSE OF ADVANCED RIGHT HEART FAILURE
Anno:
2026
Background: Severe tricuspid regurgitation is increasingly recognised as an independent driver of right-sided heart failure. Primary (organic) mechanisms are uncommon, and isolated chordal rupture leading to a flail leaflet is exceptional. Case: An 81-year-old patient was admitted for pacemaker generator replacement and presented with peripheral oedema, painful hepatomegaly and…
RIGHT VENTRICULAR TRAJECTORIES AFTER TAVR AND INTERACTION WITH LEFT-SIDED FILLING PRESSURES
Anno:
2026
Background : Right ventricular (RV) structural and/or functional impairment is a recognized prognostic marker in severe aortic stenosis. Whether early post-TAVI RV trajectories are prognostically informative, and whether their association with outcomes varies according to left-sided filling pressures, remains unclear. Methods : We conducted a single-center observational study including…
THE ROLE OF ADVANCED ECHOCARDIOGRAPHY IN PREDICTING ATRIOVENTRICULAR SYNCHRONY IN LEADLESS PACEMAKERS: A3, A STILL UNDERRECOGNIZED PARAMETER
Anno:
2026
INTRODUCTION: Leadless cardiac pacemakers represent an alternative to conventional transvenous pacemakers and are capable of providing atrioventricular synchrony. The accelerometer of the Micra-AV leadless device detects mechanical atrial activity and uses this information to deliver ventricular pacing with AV synchrony. Considerable efforts have been made to identify predictors of…
AN ANTERIOR RIGHT HEART MASS MIMICKING A CYST: DIAGNOSTIC CLUES FROM MULTIMODALITY IMAGING
Anno:
2026
Case presentation: An 54-year-old woman with pacemaker implanted for sinus node dysfunction was asymptomatic at routine follow-up. Transthoracic echocardiography revealed a well-circumscribed, oval formation (35–38 mm) located anterior to the right ventricular (RV) inflow at the atrioventricular junction, causing mild extrinsic impression on RV without diastolic obstruction. Transesophageal echocardiography…
THE IMPORTANCE OF MULTIMODAL IMAGING IN A COMPLEX CASE OF CIED-RELATED ENDOCARDITIS WITH NEGATIVE BLOOD CULTURES, COMPLICATED BY PULMONARY THROMBOSIS
Anno:
2026
Cardiac implantable electronic device (CIED)-related infective endocarditis represents a diagnostic and therapeutic challenge, particularly in the presence of negative blood cultures. We report the case of a 60-year-old woman with a history of resuscitated cardiac arrest, idiopathic myelofibrosis, hypothyroidism, and implantable cardioverter-defibrillator (ICD) implantation, who was admitted for persistent…