{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T21:58:43Z","timestamp":1747173523041,"version":"3.40.5"},"reference-count":6,"publisher":"Cambridge University Press (CUP)","issue":"7","license":[{"start":{"date-parts":[[2019,7,23]],"date-time":"2019-07-23T00:00:00Z","timestamp":1563840000000},"content-version":"unspecified","delay-in-days":22,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2019,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Patients with a significant left-to-right shunt at ventricular level may become inoperable at an early age due to irreversible pulmonary vascular disease. On the other hand, even suprasystemic pulmonary hypertension due to mitral stenosis remains treatable. We report a 24-year-old patient with large ventricular septal defect, severe mitral stenosis and cyanosis who improved after surgical correction of both the lesions. This emphasises the importance of additional post-capillary pulmonary hypertension in Eisenmenger syndrome.<\/jats:p>","DOI":"10.1017\/s1047951119001057","type":"journal-article","created":{"date-parts":[[2019,7,23]],"date-time":"2019-07-23T08:17:26Z","timestamp":1563869846000},"page":"986-988","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Operable ventricular septal defect despite severe pulmonary hypertension and cyanosis!"],"prefix":"10.1017","volume":"29","author":[{"given":"Shyam S.","family":"Kothari","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0603-7299","authenticated-orcid":false,"given":"Jay","family":"Relan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Velayoudam","family":"Devagourou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2019,7,23]]},"reference":[{"doi-asserted-by":"publisher","key":"S1047951119001057_ref2","DOI":"10.1161\/01.CIR.19.3.386"},{"doi-asserted-by":"publisher","key":"S1047951119001057_ref1","DOI":"10.1017\/S1047951117001275"},{"key":"S1047951119001057_ref6","first-page":"92","article-title":"Chronic rheumatic heart disease in India: a reappraisal of pathologic changes","volume":"1","author":"Chopra","year":"1992","journal-title":"J Heart Valve Dis"},{"doi-asserted-by":"publisher","key":"S1047951119001057_ref4","DOI":"10.1056\/NEJM196509022731001"},{"unstructured":"5. Fawzy, ME , Hassan, W , Stefadouros, M , et al. Prevalence and fate of severe pulmonary hypertension in 559 consecutive patients with severe rheumatic mitral stenosis undergoing mitral balloon valvotomy. J Heart Valve Dis 2004; 13: 942\u2013947.","key":"S1047951119001057_ref5"},{"doi-asserted-by":"publisher","key":"S1047951119001057_ref3","DOI":"10.1136\/hrt.20.4.557"}],"container-title":["Cardiology in the Young"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1047951119001057","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,18]],"date-time":"2021-08-18T15:17:14Z","timestamp":1629299834000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1047951119001057\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,7]]},"references-count":6,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2019,7]]}},"alternative-id":["S1047951119001057"],"URL":"https:\/\/doi.org\/10.1017\/s1047951119001057","relation":{},"ISSN":["1047-9511","1467-1107"],"issn-type":[{"type":"print","value":"1047-9511"},{"type":"electronic","value":"1467-1107"}],"subject":[],"published":{"date-parts":[[2019,7]]},"assertion":[{"value":"\u00a9 Cambridge University Press 2019\u00a0","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}}]}}