Associazione Nazionale Medici Cardiologi Ospedalieri

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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…
SEVERE TRICUSPID REGURGITATION DUE TO UNREPORTED TRAUMA: A DIAGNOSTIC AND SURGICAL CHALLENGE
Anno:
2025
A 62-year-old male presented for a routine cardiovascular check-up, reporting palpitations and mild physical limitations (NYHA class II) but denying prior trauma or significant illnesses. Clinical examination revealed jugular venous distension and peripheral edema, suggesting underlying cardiac dysfunction. ECG showed sinus rhythm with P-wave anomalies. Transthoracic echocardiography (TTE) revealed…
TRICUSPID REGURGITATION IN PATIENTS UNDERGOING HIS BUNDLE PACING
Anno:
2025
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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…
THE OTHER WAY AROUND: FROM PULMONARY HYPERTENSION TO CARCINOID HEART DISEASE
Anno:
2025
Introduction Carcinoid heart disease (CHD) is a rare cause of right heart failure due to tricuspid regurgitation (TR) and pulmonary stenosis secondary to valve leaflets fibrosis. Primary ovarian neuroendocrine tumors are a lesser-known cause of CHD which can develop early since the ovarian veins drain into the inferior vena…
A RARE CASE OF RIGHT HEART FAILURE
Anno:
2025
A 65 year-old hypertensive woman came to our attention for exertional dyspnoea (NYHA II), peripheral oedema and weight gain. The general practitioner started a low dose of loop diuretic with partial benefit. At physical examination she presented a 2/6 systolic murmur and all signs of right heart failure. A…
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…
An uncommon cause of mechanical prosthetic valve obstruction
Anno:
2025
An 84-years-old man presented to the ED for worsening exertional dyspnoea and fever. Medical history included CKD, hypertension, permanent AF, type 2 diabetes mellitus, chronic coronary syndrome with mild LV dysfunction. He previously underwent a revascularization with a CABG, an AVR with a 27mm mechanical prosthesis for a severe…
Percutaneous Management of Tricuspid Valve Infective Endocarditis: A Clinical Case Report.
Anno:
2025
A 45-year-old male patient with a history of intravenous drug use, chronic anemia, and erosive gastritis presented to the emergency department with fever and dyspnea. Laboratory tests revealed severe anemia (Hb 6 g/dL), marked leukocytosis, elevated d-dimer (23.57 mg/L), C-reactive protein (188 mg/L), procalcitonin (9.73 ng/mL), and increased lactic…