{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,9]],"date-time":"2025-12-09T12:27:03Z","timestamp":1765283223625,"version":"3.46.0"},"reference-count":8,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[2025,12,9]],"date-time":"2025-12-09T00:00:00Z","timestamp":1765238400000},"content-version":"vor","delay-in-days":12,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,11,27]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Pan-valvular heart disease involving both native and prosthetic valves is rare and challenging to manage, especially in frail patients with limited treatment options.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case summary<\/jats:title>\n                    <jats:p>A 74-year-old woman on dialysis with prior tricuspid and pulmonary bioprosthetic valve replacements presented with abdominal pain, diarrhoea, dyspnoea, and progressive jaundice. Echocardiography revealed severe aortic stenosis (AS) with pulmonary and tricuspid bioprosthetic valve dysfunction. Right heart catheterization confirmed significant pressure gradients and low cardiac index. Due to financial constraints and the high surgical risk, transcatheter valve-in-valve procedures and surgical treatment were not pursued. Instead, balloon valvuloplasty was performed on all three valves, resulting in transient haemodynamic improvement and bilirubin reduction. The patient later died from complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>This case illustrates the balloon valvuloplasty as a palliative option in pan-valvular heart disease when definitive therapies are inaccessible. Such cases highlight a need for individualized, multidisciplinary care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytaf558","type":"journal-article","created":{"date-parts":[[2025,11,14]],"date-time":"2025-11-14T13:12:51Z","timestamp":1763125971000},"source":"Crossref","is-referenced-by-count":0,"title":["Pan-valvular heart disease in a dialysis patient with progressive jaundice: case report"],"prefix":"10.1093","volume":"9","author":[{"given":"Chia-Chuan","family":"Chang","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Cardinal Tien Hospital , No.362, Zhongzheng Rd., Xindian Dist., New Taipei City 23148 ,","place":["Taiwan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6714-7985","authenticated-orcid":false,"given":"Chih-Hsueh","family":"Tseng","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Department of Internal Medicine, E-Da Hospital, I-Shou University , No.1, Yida Road, Jiaosu Village, Yanchao District, Kaohsiung City 82445, Taiwan"},{"name":"Department of Medicine, National Yang Ming Chiao Tung University , No. 155, Sec. 2, Linong Street, Beitou District, Taipei 112 ,","place":["Taiwan"]},{"name":"Institute of Emergency and Critical Care Medicine, National Yang-Ming Chiao-Tung University , No. 155, Sec. 2, Linong Street, Beitou District, Taipei 112 ,","place":["Taiwan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ching-Wei","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Medicine, Taipei Veterans General Hospital , No.201, Sec. 2, Shipai Rd., Beitou District, Taipei City 112201 ,","place":["Taiwan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9441-1836","authenticated-orcid":false,"given":"Shih-Hsien","family":"Sung","sequence":"additional","affiliation":[{"name":"Department of Medicine, National Yang Ming Chiao Tung University , No. 155, Sec. 2, Linong Street, Beitou District, Taipei 112 ,","place":["Taiwan"]},{"name":"Institute of Emergency and Critical Care Medicine, National Yang-Ming Chiao-Tung University , No. 155, Sec. 2, Linong Street, Beitou District, Taipei 112 ,","place":["Taiwan"]},{"name":"Department of Medicine, Taipei Veterans General Hospital , No.201, Sec. 2, Shipai Rd., Beitou District, Taipei City 112201 ,","place":["Taiwan"]},{"name":"General Clinical Research Center, Taipei Veterans General Hospital , No.201, Sec. 2, Shipai Rd., Beitou District, Taipei City 112201 ,","place":["Taiwan"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,12,9]]},"reference":[{"key":"2025120907212501600_ytaf558-B1","doi-asserted-by":"crossref","first-page":"1977","DOI":"10.1016\/j.athoracsur.2017.05.065","article-title":"Transcatheter aortic valve replacement in patients with aortic stenosis and mitral 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