Associazione Nazionale Medici Cardiologi Ospedalieri

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A DISASTROUS CASE OF MECHANICAL PROSTHESIS VALVE THROMBOSIS
Anno:
2025
In September 2024, a 57-year-old woman came to the emergency department with worsening dyspnea. Her medical history includes an aortic bioprosthesis implantation in July 2019 for suspected endocarditis and closure of a secundum atrial septal defect. In February 2024, she had redo surgery with a mechanical prosthesis placed due…
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…
Resolution of bioprosthetic valve dysfunction following percutaneous coronary intervention
Anno:
2025
An 80-year-old man presented to our clinic complaining of dyspnea.  His medical history included aortic and mitral (Medtronic Hancock II) valve replacement with bioprosthetic heart valves (BHVs) due to infective endocarditis, performed 4 years prior. At the time of the visit, the patient was in single antiplatelet therapy with…
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…
Safe and Effective Redo-TAVR with Edwards SAPIEN 3 in a Degenerated ACURATE neo2 Valve: A Case Report
Anno:
2025
This case report highlights the successful management of severe aortic insufficiency caused by bioprosthetic valve dysfunction in an 86-year-old male with a history of comorbidities, including arterial hypertension, dyslipidemia, type 2 diabetes, and chronic kidney disease. The patient previously underwent TAVI with an ACURATE neo2 valve (27 mm) for…
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…
SURGICAL MANAGEMENT OF QUADRICUSPID AORTIC VALVE
Anno:
2025
A 54-year-old woman presented in February 2024 with exertional dyspnea. She had no significant medical history, was a non-smoker, and denied medication use. Electrocardiography revealed left ventricular hypertrophy, while transthoracic echocardiography (TTE) showed an enlarged left ventricular cavity (end-diastolic diameter 54 mm) with normal wall thickness and preserved systolic…
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…
VALVE FAILURE AND THROMBOEMBOLIC COMPLICATIONS IN A MARFAN SYNDROME PATIENT POST-YACOUB PROCEDURE AND MECHANICAL VALVE REPLACEMENT
Anno:
2025
The Yacoub technique is a valve-sparing procedure for ascending aorta replacement, preserving part of the aortic root and remodeling it with a Dacron graft to maintain the anatomy of the Valsalva sinuses. We present the case of 64-year-old man with past medical history significant for Marfan syndrome with pectus…
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…