{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T11:52:10Z","timestamp":1753876330851,"version":"3.41.2"},"reference-count":5,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2024,1,30]],"date-time":"2024-01-30T00:00:00Z","timestamp":1706572800000},"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":[[2024,2,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Mitral valve surgery (MVS), with repair preferred to replacement, is a common procedure for the treatment of severe primary mitral regurgitation related to leaflet prolapse. Structural complications after MVS include left ventricular outflow obstruction, paravalvular leak and atrial septal defect. Intraoperative transoesophageal echocardiography and predischarge transthoracic echocardiography (TTE) specifically screen for these complications. Ventricular septal defect (VSD), a known complication after aortic valve surgery, is rarely reported after MVS. Recently, unsuccessful valvuloplasty prior to replacement was suggested as a risk factor. We present such a case and explore mechanisms with advanced cardiac imaging. In this case, the patient was found to have an elongated membranous septum that likely predisposed her to septal injury. Finally, we provide guidance on specific transoesophageal\/transthoracic echocardiography views to avoid a missed diagnosis.<\/jats:p>","DOI":"10.1093\/ejcts\/ezae029","type":"journal-article","created":{"date-parts":[[2024,1,31]],"date-time":"2024-01-31T02:07:00Z","timestamp":1706666820000},"source":"Crossref","is-referenced-by-count":2,"title":["Ventricular septal defect following mitral valve replacement"],"prefix":"10.1093","volume":"65","author":[{"given":"Jose","family":"Arriola-Montenegro","sequence":"first","affiliation":[{"name":"Department of Medicine, University of Minnesota Medical School , Minneapolis, Minnesota, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rishabh","family":"Tandon","sequence":"additional","affiliation":[{"name":"Cardiovascular Division, Department of Medicine, University of Minnesota Medical School , Minneapolis, Minnesota, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Shaffer","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic Surgery, Department of Surgery, University of Minnesota Medical School , Minneapolis, Minnesota, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8681-1397","authenticated-orcid":false,"given":"Prabhjot S","family":"Nijjar","sequence":"additional","affiliation":[{"name":"Cardiovascular Division, Department of Medicine, University of Minnesota Medical School , Minneapolis, Minnesota, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,1,30]]},"reference":[{"key":"2024021007495673900_ezae029-B1","doi-asserted-by":"crossref","first-page":"727","DOI":"10.1093\/ejcts\/ezab389","article-title":"2021 ESC\/EACTS Guidelines for the management of valvular heart disease","volume":"60","author":"Vahanian","year":"2021","journal-title":"Eur J Cardiothorac Surg"},{"key":"2024021007495673900_ezae029-B2","doi-asserted-by":"crossref","first-page":"ezac568","DOI":"10.1093\/ejcts\/ezac568","article-title":"Ventricular septal defect following port-access mechanical mitral valve replacement","volume":"63","author":"Berk","year":"2023","journal-title":"Eur J Cardiothorac Surg"},{"key":"2024021007495673900_ezae029-B3","doi-asserted-by":"crossref","first-page":"1966","DOI":"10.1148\/rg.2016160010","article-title":"Septal Atrioventricular Junction Region: comprehensive Imaging in Adults","volume":"36","author":"Saremi","year":"2016","journal-title":"Radiographics"},{"key":"2024021007495673900_ezae029-B4","doi-asserted-by":"crossref","first-page":"582","DOI":"10.1161\/CIRCINTERVENTIONS.109.903328","article-title":"Perforation of the Membranous Interventricular Septum After Transcatheter Aortic Valve Implantation","volume":"2","author":"Tzikas","year":"2009","journal-title":"Circ Cardiovasc Interv"},{"key":"2024021007495673900_ezae029-B5","doi-asserted-by":"crossref","first-page":"ezad133","DOI":"10.1093\/ejcts\/ezad133","article-title":"Ventricular septal rupture after mitral surgery: cblood always finds its course","volume":"63","author":"Ascaso","year":"2023","journal-title":"Eur J Cardiothorac Surg"}],"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\/ezae029\/56485348\/ezae029.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ejcts\/article-pdf\/65\/2\/ezae029\/56645698\/ezae029.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ejcts\/article-pdf\/65\/2\/ezae029\/56645698\/ezae029.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,2,10]],"date-time":"2024-02-10T07:50:07Z","timestamp":1707551407000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ejcts\/article\/doi\/10.1093\/ejcts\/ezae029\/7593750"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1,30]]},"references-count":5,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2024,2,1]]}},"URL":"https:\/\/doi.org\/10.1093\/ejcts\/ezae029","relation":{},"ISSN":["1010-7940","1873-734X"],"issn-type":[{"type":"print","value":"1010-7940"},{"type":"electronic","value":"1873-734X"}],"subject":[],"published-other":{"date-parts":[[2024,2,1]]},"published":{"date-parts":[[2024,1,30]]},"article-number":"ezae029"}}