Associazione Nazionale Medici Cardiologi Ospedalieri

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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…
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…
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…