Associazione Nazionale Medici Cardiologi Ospedalieri

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CONGRESS ABSTRACT

CONGRESS ABSTRACT

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A Tavi Valv in Valv at almost 90 years
Anno:
2024
Degeneration of the biologic aortic valve prosthesis represents an increasingly important issue. This process often affects frail elderly patients who are not candidates for cardiac re-intervention. TAVI valve-in-valve implantation therefore probably remains the only viable option in such patients.We report the clinical case of Mrs. Luciana F., currently 94…
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Stent Frame Decoupling Following Self-expandable TAVR
Anno:
2024
Introduction Transcatheter heart valve (THV) deformation may affect leaflet kinematics and coaptation, with potential formation of hypoattenuated leaflet thickening (HALT). The flexible nitinol frame of the self-expandable THV, conforms to the native annulus shape while maintaining the prosthesis in a higher position. This arrangement is called stent-frame ‘decoupling’ and…
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Leaflets and extra-leaflets hypoattenuated lesions following TAVR
Anno:
2024
Introduction Subclinical leaflets thrombosis is a condition diagnosed with multi-detector computer tomography (MDCT) characterized by a meniscal-shaped hypoattenuated lesion of one or more leaflets. Transcatheter aortic self-expandable valves are commonly manufactured with pliable pericardium over a nitinol frame that forms the leaflets and the extra-leaflets components, such as the…
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GENDER DIFFERENCES IN MORTALITY RISK AFTER TAVI: UNRAVELING THE ENIGMA THROUGH BODY COMPOSITION ANALYSIS
Anno:
2024
Introduction In the context of Transcatheter Aortic Valve Implantation(TAVI), females often present with higher Society of Thoracic Surgeons(STS) mortality score values. Paradoxically, however, they tend to exhibit greater survival post-TAVI compared to males. Previous literature has shown that body composition(BC) may affect prognosis in cardiometabolic diseases. Specifically, increased visceral…
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LIFETIME MANAGEMENT OF AORTIC STENOSIS IN EXTREME SETTING
Anno:
2024
A 51-year-old male patient returned to our attention due to symptomatic severe aortic stenosis.Despite the severity of the aortic valve disease, he had been previously turned down from aortic valve replacement by us because of lack of symptoms and very unfavorable anatomy.Indeed he had been irradiated at the age…
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HEART FAILURE WITH PRESERVED EJECTION FRACTION (HFpEF) IN A PATIENT WITH RECENT TAVI AND NUMEROUS CORONARY FISTULAS OF THE LEFT CORONARY ARTERY DRAINING INTO THE VENTRICULAR CAVITY
Anno:
2024
Coronary fistula is a rare form of congenital heart disease and is defined as an abnormal connection between a coronary branch and a cardiac chamber or a large intrathoracic vessel without the interposition of the capillary circulation. The right coronary artery is the most common site of origin for…
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The “Back to the Future” of Cardiothoracic Surgery: High-risk interventional procedure turned down to conventional cardiac surgery
Anno:
2024
Background Structural interventional cardiology has been introduced at the beginning of our century to address high-risk patient suffering from severe aortic stenosis. Since then several technique and technology have been proposed to address an increasing population of patients and mitral valve diseases have been also addressed. While several authors…
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