{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T11:52:32Z","timestamp":1753876352888,"version":"3.41.2"},"reference-count":5,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2022,12,26]],"date-time":"2022-12-26T00:00:00Z","timestamp":1672012800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,4,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Interventricular septum defects are a known complication after an aortic valve replacement, but not after mitral surgery. We present a case of a 65-year-old female who underwent unsuccessful mitral valvuloplasty through port-access surgery, followed by uneventful mechanical bioprosthesis replacement. Postoperatively, the patient experienced multiple arrhythmias and recovered poorly. A systolic murmur led to echocardiography, showing an interventricular septum rupture. This was closed with 2 polypropylene pledgeted mattress sutures, via the right atrium and tricuspid valve through midsternal access. The authors believe that the most likely cause is tearing of 2 deeply placed adjacent sutures in the septum, creating localized weakening of the septum susceptible to further rupture. We therefore underline the importance of adequate exposure, especially at the notorious anterior annulus.<\/jats:p>","DOI":"10.1093\/ejcts\/ezac568","type":"journal-article","created":{"date-parts":[[2022,12,23]],"date-time":"2022-12-23T14:39:54Z","timestamp":1671806394000},"source":"Crossref","is-referenced-by-count":1,"title":["Ventricular septal defect following port-access mechanical mitral valve replacement"],"prefix":"10.1093","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7053-4767","authenticated-orcid":false,"given":"Thirza A","family":"Berk","sequence":"first","affiliation":[{"name":"Department of Cardiothoracic Surgery, St. Antonius Hospital , Nieuwegein, Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas L","family":"de Kroon","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, St. Antonius Hospital , Nieuwegein, Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin J","family":"Swaans","sequence":"additional","affiliation":[{"name":"Department of Cardiology, St. Antonius Hospital , Nieuwegein, Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bart P","family":"van Putte","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, St. Antonius Hospital , Nieuwegein, Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2022,12,26]]},"reference":[{"key":"2023041319303743400_","doi-asserted-by":"crossref","first-page":"414","DOI":"10.1093\/med\/9780199642830.001.0001","volume-title":"Cardiothoracic Surgery","author":"Chikwe","year":"2013"},{"key":"2023041319303743400_","doi-asserted-by":"crossref","first-page":"408.e1","DOI":"10.1016\/j.echo.2007.08.035","article-title":"Left ventricular to right atrial communication (Gerbode-type defect) after mitral valve replacement","volume":"21","author":"Moaref","year":"2008","journal-title":"J Am Soc Echocardiogr"},{"key":"2023041319303743400_","doi-asserted-by":"crossref","first-page":"968","DOI":"10.1016\/j.hlc.2016.03.012","article-title":"Iatrogenic ventricular septal defect following transcatheter aortic valve replacement: a systematic review","volume":"25","author":"Ando","year":"2016","journal-title":"Heart Lung Circ"},{"key":"2023041319303743400_","doi-asserted-by":"crossref","first-page":"1164","DOI":"10.1016\/j.athoracsur.2015.05.035","article-title":"Ventricular septal perforation caused by the strut of a mitral valve bioprosthesis","volume":"101","author":"Dagneg\u00e5rd","year":"2016","journal-title":"Ann Thorac Surg"},{"key":"2023041319303743400_","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1016\/j.ijscr.2016.08.024","article-title":"Iatrogenic ventricular septal defect: A rare complication of surgical reconstruction of mitral paravalvular dehiscence","volume":"27","author":"Rashed","year":"2016","journal-title":"Int J Surg Case Rep"}],"container-title":["European Journal of Cardio-Thoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ejcts\/advance-article-pdf\/doi\/10.1093\/ejcts\/ezac568\/48416502\/ezac568.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ejcts\/article-pdf\/63\/4\/ezac568\/49882638\/ezac568.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ejcts\/article-pdf\/63\/4\/ezac568\/49882638\/ezac568.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,3]],"date-time":"2023-12-03T13:19:52Z","timestamp":1701609592000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ejcts\/article\/doi\/10.1093\/ejcts\/ezac568\/6960925"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,12,26]]},"references-count":5,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2023,4,3]]}},"URL":"https:\/\/doi.org\/10.1093\/ejcts\/ezac568","relation":{},"ISSN":["1873-734X"],"issn-type":[{"type":"electronic","value":"1873-734X"}],"subject":[],"published-other":{"date-parts":[[2023,4,1]]},"published":{"date-parts":[[2022,12,26]]},"article-number":"ezac568"}}