{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T09:13:21Z","timestamp":1776417201292,"version":"3.51.2"},"reference-count":15,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T00:00:00Z","timestamp":1774915200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>We present a successful case of triple-valve surgery, including bailout open-heart transcatheter mitral valve implantation, in a haemodialysis patient with extensive intracardiac calcifications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case summary<\/jats:title>\n                    <jats:p>A middle-aged woman with exercise-induced dyspnoea and an end-stage kidney disease on renal replacement therapy was admitted to the emergency department for severe hypotension and bradycardia. A high-degree AV block was diagnosed. Multimodal imaging exams also revealed a triple severe valvular disease (mitral stenosis, aortic stenosis, and tricuspid regurgitation) with an unclear cardiac mass enclosed within the left atrial wall. To avoid potentially dangerous decalcification for valve replacement, a combined traditional surgical approach and transcatheter valve implantation have been successfully applied.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>The current case confirms that open-heart transcatheter valve implantation at the mitral position in the presence of marked calcifications involving the valve apparatus, atrial, and ventricular walls is a valuable option, potentially avoiding dangerous decalcification, achieving effective mitral valve stenosis relief, and shortening surgical times.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytag239","type":"journal-article","created":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T11:21:56Z","timestamp":1774869716000},"source":"Crossref","is-referenced-by-count":0,"title":["Bailout transcatheter mitral valve implantation for extensive valvular and atrial calcifications during triple-valve surgery in a patient with long-lasting renal replacement therapy: a case report"],"prefix":"10.1093","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2369-109X","authenticated-orcid":false,"given":"Giuseppe","family":"Verolino","sequence":"first","affiliation":[{"name":"Invasive Cardiology, IRCCS Istituto Auxologico Italiano - San Luca Hospital , Piazzale Brescia 20, 20148 Milan ,","place":["Italy"]},{"name":"Department of Cardiothoracic Surgery Heart+Vascular Centre, Maastricht UMC+ , P. Debyelaan 25, 6669 Maastricht ,","place":["The Netherlands"]},{"name":"Cardiovascular Research Institute Maastricht (CARIM) , Universiteitssingel 50, 632, 6229 ER Maastricht ,","place":["The Netherlands"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-9986-2416","authenticated-orcid":false,"given":"Kim E H M","family":"van der Velden","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Pain Medicine, Maastricht UMC+ , P. Debyelaan 25, 6669 Maastricht ,","place":["The Netherlands"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barthel W","family":"Sauren","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology and Pain Medicine, Maastricht UMC+ , P. Debyelaan 25, 6669 Maastricht ,","place":["The Netherlands"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2854-1234","authenticated-orcid":false,"given":"Suzanne","family":"Kats","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery Heart+Vascular Centre, Maastricht UMC+ , P. Debyelaan 25, 6669 Maastricht ,","place":["The Netherlands"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1777-2045","authenticated-orcid":false,"given":"Roberto","family":"Lorusso","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery Heart+Vascular Centre, Maastricht UMC+ , P. 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