{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T03:46:31Z","timestamp":1784605591241,"version":"3.55.0"},"reference-count":8,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2026,1,12]],"date-time":"2026-01-12T00:00:00Z","timestamp":1768176000000},"content-version":"vor","delay-in-days":11,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Thorac Cardiovasc Surg Rep"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Parachute mitral valve (PMV) is a rare congenital anomaly where all chordae tendineae insert into a single papillary muscle, causing stenosis or regurgitation. Adult presentations are uncommon and often underdiagnosed.<\/jats:p>\n                  <jats:p>A 35-year-old male presented with exertional dyspnea. Echocardiography demonstrated severe mitral stenosis, reduced ejection fraction, a bicuspid aortic valve, and pulmonary hypertension. Intraoperative findings confirmed true PMV. Due to anatomical complexity, a 27-mm mechanical prosthesis replacement was performed successfully, with rapid postoperative recovery.<\/jats:p>\n                  <jats:p>Adult PMV requires high clinical suspicion and often surgical confirmation. Valve replacement is effective in complex cases, emphasizing the importance of early diagnosis and intervention.<\/jats:p>","DOI":"10.1055\/a-2785-8203","type":"journal-article","created":{"date-parts":[[2026,1,12]],"date-time":"2026-01-12T23:56:31Z","timestamp":1768262191000},"page":"e1-e4","source":"Crossref","is-referenced-by-count":1,"title":["Adult Presentation of Congenital Mitral Stenosis: The Challenges of a True Parachute Mitral Valve"],"prefix":"10.1055","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4368-6642","authenticated-orcid":false,"given":"Maria Jose","family":"Lizano","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Costa Rican Social Security, Hospital M\u00e9xico, San Jos\u00e9, Costa Rica"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00c1lvaro","family":"Herrera","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Costa Rican Social Security, Hospital M\u00e9xico, San Jos\u00e9, Costa Rica"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eduardo","family":"Induni","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Costa Rican Social Security, Hospital M\u00e9xico, San Jos\u00e9, Costa Rica"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F\u00e9lix Eduardo","family":"Sol\u00eds","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Costa Rican Social Security, Hospital M\u00e9xico, San Jos\u00e9, Costa Rica"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tulio","family":"Caldonazo","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Friedrich-Schiller-University Jena, University Hospital, Jena, 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imaging","volume":"9","author":"Y Chen","year":"2024","journal-title":"CASE (Phila)"},{"issue":"11","key":"ref8","doi-asserted-by":"crossref","first-page":"e015483","DOI":"10.1161\/CIRCIMAGING.123.015483","article-title":"Beware before mitral balloon valvuloplasty: Parachute mitral valve can mimic rheumatic mitral stenosis","volume":"16","author":"S Goldman","year":"2023","journal-title":"Circ Cardiovasc Imaging"}],"container-title":["The Thoracic and Cardiovascular Surgeon Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2785-8203.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T00:04:00Z","timestamp":1769126640000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2785-8203"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":8,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2026,1,22]]},"published-print":{"date-parts":[[2026,1]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2785-8203","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2194-7635","2194-7643"],"issn-type":[{"value":"2194-7635","type":"print"},{"value":"2194-7643","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,1,12]]},"published":{"date-parts":[[2026,1]]}}}