Associazione Nazionale Medici Cardiologi Ospedalieri

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CONGRESS ABSTRACT

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ARRHYTHMIC MITRAL VALVE PROLAPSE COMPLICATED BY CARDIAC ARREST: A CASE OF MITRAL VALVE GONE “MAD”.
Anno:
2025
A 58-year-old man, heavy smoker with hypertension, presented with cardiac arrest with shockable rhythm. Emergency service was called and CPR started. DC shocks were administered with evidence of ROSC after 15 minutes. Orotracheal intubation was performed and the patient centralized to our emergency department. Total body CT scan excluded acute intracranial…
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NATIVE MITRAL VALVE ENDOCARDITIS BY MICROCOCCUS LUTEUS: THE FIRST EUROPEAN CASE
Anno:
2025
An 88-year-old woman with a history of atrial fibrillation and amoxicillin allergy presented progressive dyspnea. She had been treated in the previous three months for pneumonia and bronchitis. Physical examination revealed basal crackles and a 4/6 systolic murmur. Echocardiography identified mobile vegetations in the mitral and aortic valves, severe…
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Mitral Annular Disjunction and Its Role in Sudden Cardiac Death: A Case of Ventricular Tachycardia and ICD Implantation
Anno:
2025
This clinical case concerns a 55-year-old male patient who first presented in 2020 with irregular palpitations and ventricular ectopy. He was referred to a cardiologist, who performed diagnostic tests, including ECG, echocardiography, and 24-hour Holter. Key findings included posterior mitral leaflet prolapse with moderate mitral regurgitation (MR) and frequent…
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HEMODYNAMIC MECHANISMS UNDERLYING TRANSIENT EJECTION FRACTION DECLINE AFTER MITRAL VALVE REPAIR: LESSON FROM A CASE REPORT
Anno:
2025
50-year-old female presented to the emergency department with acute heart failure. One month before, she had undergone mitral valvuloplasty (P1P2 prolapse) with implantation of a Physio Flex ring and Gore-Tex neochords on P2; tricuspid valvuloplasty and left atrial appendage closure. Pre-discharge echocardiography showed normal left ventricular size, preserved ejection…
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SUDDEN CARDIAC ARREST IN A YOUNG WOMAN: ARRHYTHMIC MITRAL VALVE PROLAPSE OR SOMETHING MORE?
Anno:
2025
Introduction: Mitral annular disjunction (MAD), often associated with mitral valve prolapse (MVP), is a structural heart abnormality that predisposes to severe arrhythmias and sudden cardiac death (SCD), particularly in young patients. We present the case of an 18-year-old woman with MVP and MAD who survived an out-of-hospital cardiac arrest…
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Clinical Outcomes of Transcatheter Edge-to-Edge Repair in Patients with Functional Mitral Regurgitation and Pulmonary Hypertension
Anno:
2025
Background: Functional mitral regurgitation (FMR) is a common complication in patients with heart failure with reduced ejection fraction (HFrEF), often accompanied by pulmonary hypertension (PH), which worsens prognosis. Transcatheter edge-to-edge mitral valve repair (M-TEER) has demonstrated efficacy in improving outcomes in FMR; however, the influence of PH, including its subtypes,…
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PERCUTANEOUS MITRAL VALVE REPAIR WITH PASCAL ACE SYSTEM IN AN ELDERLY PATIENT WITH ANNULOPLASTY RING DEHISCENCE AND HIGH SURGICAL RISK
Anno:
2025
An 84-year-old male with no significant cardiovascular risk factors and a history of non-smoking was followed since 2012 for mild-to-moderate mitral regurgitation (MR) and tricuspid regurgitation. In 2014, he developed permanent bradycardic atrial fibrillation, necessitating implantation of a single-chamber pacemaker (VVI mode). By 2015, his condition progressed to severe…
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Mitral valve annulus assessment: a comparison between 3D-TOE, CCT and surgical ring
Anno:
2025
BACKGROUND:  The success of mitral valve repair with annuloplasty depends on the repair technique and the correct sizing of the mitral annulus ring. Three-dimensional transoesophageal echocardiography (3D-TOE) has been proven to be essential for the anatomo-functional characterization of mitral valve apparatus in patients undergoing surgically mitral valve repair. It…
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THE ROLE OF ECHOCARDIOGRAPHIC IMAGING IN THE DIAGNOSIS OF POST-SURGICAL COMPLICATIONS: A CASE OF PARTIAL ANNULOPLASTY DETACHMENT
Anno:
2025
INTRODUCTION: Annuloplasty is one of the main mitral valve repair techniques for the treatment of severe insufficiency. One of its potential complications is the detachment of the prosthetic ring, resulting in recurrence or worsening of regurgitation. CLINICAL CASE: A male patient with Marfan syndrome underwent at the age of…
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