{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T11:24:38Z","timestamp":1740137078664,"version":"3.37.3"},"reference-count":5,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2017,5,18]],"date-time":"2017-05-18T00:00:00Z","timestamp":1495065600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Echocardiography"],"published-print":{"date-parts":[[2017,7]]},"abstract":"<jats:p>We report a clinical case of a 40\u2010year\u2010old male with surgically corrected congenital heart disease (<jats:styled-content style=\"fixed-case\">CHD<\/jats:styled-content>) 10\u00a0years earlier: closure of ostium primum, mitral annuloplasty, and aortic valve and root surgery. The patient was admitted with acute heart failure. Transesophageal echocardiography (<jats:styled-content style=\"fixed-case\">TEE<\/jats:styled-content>) revealed a dysmorphic and severely incompetent aortic valve, a partial tear of the mitral valve cleft repair and annuloplasty ring dehiscence. A true left ventricular\u2010to\u2010right atrial shunt confirmed a direct Gerbode defect. The authors aim to discuss the diagnostic challenge of adult <jats:styled-content style=\"fixed-case\">CHD<\/jats:styled-content>, namely the key role of <jats:styled-content style=\"fixed-case\">TEE<\/jats:styled-content> on septal defects and valve regurgitations description.<\/jats:p>","DOI":"10.1111\/echo.13561","type":"journal-article","created":{"date-parts":[[2017,5,18]],"date-time":"2017-05-18T10:53:48Z","timestamp":1495104828000},"page":"1099-1101","source":"Crossref","is-referenced-by-count":1,"title":["Gerbode defect and multivalvular dysfunction: Complex complications in adult congenital heart disease"],"prefix":"10.1111","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9105-2409","authenticated-orcid":false,"given":"Catarina","family":"Ruivo","sequence":"first","affiliation":[{"name":"Cardiology Department Leiria Hospital Center  Leiria Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joana","family":"Guardado","sequence":"additional","affiliation":[{"name":"Cardiology Department Leiria Hospital Center  Leiria Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fernando","family":"Montenegro S\u00e1","sequence":"additional","affiliation":[{"name":"Cardiology Department Leiria Hospital Center  Leiria Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F\u00e1tima","family":"Saraiva","sequence":"additional","affiliation":[{"name":"Cardiology Department Leiria Hospital Center  Leiria Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandre","family":"Antunes","sequence":"additional","affiliation":[{"name":"Cardiology Department Leiria Hospital Center  Leiria Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joana","family":"Correia","sequence":"additional","affiliation":[{"name":"Cardiology Department Leiria Hospital Center  Leiria Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jo\u00e3o","family":"Morais","sequence":"additional","affiliation":[{"name":"Cardiology Department Leiria Hospital Center  Leiria Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,5,18]]},"reference":[{"key":"e_1_2_3_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehq249"},{"key":"e_1_2_3_3_1","first-page":"357","article-title":"A systematic review of acquired left ventricle to right atrium shunts (Gerbode defects)","volume":"56","author":"Yuan SM","year":"2015","journal-title":"Hellenic J Cardiol"},{"key":"e_1_2_3_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-195809000-00012"},{"key":"e_1_2_3_5_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.111.088740"},{"key":"e_1_2_3_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/icvts\/ivv087"}],"container-title":["Echocardiography"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fecho.13561","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/echo.13561","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,24]],"date-time":"2023-09-24T15:50:27Z","timestamp":1695570627000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/echo.13561"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,5,18]]},"references-count":5,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2017,7]]}},"alternative-id":["10.1111\/echo.13561"],"URL":"https:\/\/doi.org\/10.1111\/echo.13561","archive":["Portico"],"relation":{},"ISSN":["0742-2822","1540-8175"],"issn-type":[{"type":"print","value":"0742-2822"},{"type":"electronic","value":"1540-8175"}],"subject":[],"published":{"date-parts":[[2017,5,18]]}}}