{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,27]],"date-time":"2025-11-27T14:59:38Z","timestamp":1764255578299,"version":"3.46.0"},"reference-count":7,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,4,7]],"date-time":"2025-04-07T00:00:00Z","timestamp":1743984000000},"content-version":"vor","delay-in-days":6,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>With over 5000 successful aortic valve replacements (AVR) carried out across the UK, thousands of patients leave hospital physiologically and physically treated, with the expectation that they will gradually integrate back into their day\u2010to\u2010day routines. However, the psychological burden associated with the surgery is often underestimated. We describe a 55\u2010year\u2010old male attending a cardiology clinic with severe aortic regurgitation due to thickened aortic valve cusps. He was admitted for 9\u2009days at a specialist hospital 2\u2009h away from his home for AVR, requiring him to leave his wife for whom he is the sole carer. The burden of caregiving, coupled with the stress of surgery and post\u2010operative recovery, led to heightened psychological distress, impeding his recovery. The burden and stress were measured using the Short Form\u201036 (SF\u201036) health survey and self\u2010reported daily ratings of pain, physical discomfort, weakness, depression, and irritability. While most recover physically after open\u2010heart surgery, psychological distress can slow overall recovery. Stress and inadequate recovery are linked through physiological mechanisms, including heightened inflammatory responses and impaired immune function. The patient's well\u2010being and remission progression were assessed through follow\u2010up clinic visits and SF\u201036 questionnaires. Importantly, these were not reported back to the GP upon hospital discharge, representing a gap in holistic recovery management. The discussion elaborates on the necessity of integrating psychological assessment in AVR recovery and how stress pathways affect long\u2010term outcomes. Recovery should not be focused solely on the physical aspects of surgery but also on the psychological and social impacts.<\/jats:p>","DOI":"10.1002\/ccr3.70410","type":"journal-article","created":{"date-parts":[[2025,4,7]],"date-time":"2025-04-07T23:52:50Z","timestamp":1744069970000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Aortic Valve Replacement: A Case Report Exploring the Psychological Impacts of Cardiac Surgery"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-6219-7769","authenticated-orcid":false,"given":"Eteesha","family":"Rao","sequence":"first","affiliation":[{"name":"Newcastle University Medical School  Newcastle\u2010Upon\u2010Tyne UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,4,7]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"nhs.uk \u201cAortic Valve Replacement \u201d2017 https:\/\/www.nhs.uk\/conditions\/aortic\u2010valve\u2010replacement\/."},{"key":"e_1_2_11_3_1","unstructured":"HQIP \u201cNational Adult Cardiac Surgery Audit: 2021 Summary Report \u201d2021 https:\/\/www.hqip.org.uk\/resource\/national\u2010adult\u2010cardiac\u2010surgery\u2010audit\u20102021\u2010summary\u2010report\/."},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/hsw\/25.3.201"},{"key":"e_1_2_11_5_1","first-page":"1057","article-title":"The Impact of Stress on Body Function: A Review","volume":"16","author":"Yaribeygi H.","year":"2017","journal-title":"EXCLI Journal"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1037\/0278-6133.27.3.309"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0025061"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0000000000005471"}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.70410","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,27]],"date-time":"2025-11-27T14:55:25Z","timestamp":1764255325000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.70410"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4]]},"references-count":7,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,4]]}},"alternative-id":["10.1002\/ccr3.70410"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.70410","archive":["Portico"],"relation":{},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"type":"print","value":"2050-0904"},{"type":"electronic","value":"2050-0904"}],"subject":[],"published":{"date-parts":[[2025,4]]},"assertion":[{"value":"2024-11-14","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-03-17","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-04-07","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70410"}}