{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T11:24:42Z","timestamp":1740137082862,"version":"3.37.3"},"reference-count":0,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2017,8,20]],"date-time":"2017-08-20T00:00:00Z","timestamp":1503187200000},"content-version":"vor","delay-in-days":19,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Echocardiography"],"published-print":{"date-parts":[[2017,8]]},"abstract":"<jats:p>A 28\u2010year\u2010old man was admitted to our emergency service with a shortness of breath and palpitation. On admission, his blood pressure was high and he was in hypertensive pulmonary edema. His physical examination showed rales in both lungs and pansystolic murmur at mitral focus. His medical history included aortic valve replacement (<jats:styled-content style=\"fixed-case\">AVR<\/jats:styled-content>) because of native aortic valve infective endocarditis. Transthoracic echocardiography (<jats:styled-content style=\"fixed-case\">TTE<\/jats:styled-content>) showed normal functional aortic valve. Color flow imaging demonstrated severe mitral regurgitation with posterior eccentric jet. To examine in detail, transesophageal echocardiography (<jats:styled-content style=\"fixed-case\">TEE<\/jats:styled-content>) and three\u2010dimensional (3D) echocardiography were performed. <jats:styled-content style=\"fixed-case\">TEE<\/jats:styled-content> disclosed a separation in the subaortic curtain leading to severe mitral regurgitation from the left ventricle to the left atrium. In addition to severe mitral regurgitation with posterior eccentric jet, 26\u2010mm\u2010long pouch was seen in mitral\u2010aortic intervalvular fibrosa (<jats:styled-content style=\"fixed-case\">MAIVF<\/jats:styled-content>) at 120\u00b0 <jats:styled-content style=\"fixed-case\">TEE<\/jats:styled-content> view. This pouch was separated from the mitral anterior leaflet junction releasing the mitral anterior leaflet and causing prolapse and chorda rupture in the A2 scallop of the mitral anterior leaflet. The <jats:styled-content style=\"fixed-case\">MAIVF<\/jats:styled-content> connects the anterior mitral leaflet to the posterior portion of the aortic annulus. The separation of the <jats:styled-content style=\"fixed-case\">MAIVF<\/jats:styled-content> represents a complication of the aortic valve replacement.<\/jats:p>","DOI":"10.1111\/echo.13629","type":"journal-article","created":{"date-parts":[[2017,8,24]],"date-time":"2017-08-24T09:27:00Z","timestamp":1503566820000},"page":"1232-1233","source":"Crossref","is-referenced-by-count":1,"title":["A rare complication of mechanical aortic valve replacement: Separation in the region of the mitral\u2010aortic intervalvular fibrosa"],"prefix":"10.1111","volume":"34","author":[{"given":"Mehmet","family":"Celik","sequence":"first","affiliation":[{"name":"Department of Cardiology Kartal Kosuyolu Heart &amp; Research Hospital  Istanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1845-1710","authenticated-orcid":false,"given":"Ahmet","family":"G\u00fcner","sequence":"additional","affiliation":[{"name":"Department of Cardiology Kartal Kosuyolu Heart &amp; Research Hospital  Istanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4380-7045","authenticated-orcid":false,"given":"Alev","family":"K\u0131l\u0131\u00e7gedik","sequence":"additional","affiliation":[{"name":"Department of Cardiology Kartal Kosuyolu Heart &amp; Research Hospital  Istanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sabahattin","family":"Gunduz","sequence":"additional","affiliation":[{"name":"Department of Cardiology Kartal Kosuyolu Heart &amp; Research Hospital  Istanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdulrahman","family":"Naser","sequence":"additional","affiliation":[{"name":"Department of Cardiology Kartal Kosuyolu Heart &amp; Research Hospital  Istanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elif","family":"Eroglu B\u00fcy\u00fck\u00f6ner","sequence":"additional","affiliation":[{"name":"Department of Cardiology Acibadem Hospital  Istanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muzaffer","family":"Kahyaoglu","sequence":"additional","affiliation":[{"name":"Department of Cardiology Kartal Kosuyolu Heart &amp; Research Hospital  Istanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cagatay","family":"Onal","sequence":"additional","affiliation":[{"name":"Department of Cardiology Kartal Kosuyolu Heart &amp; Research Hospital  Istanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gokhan","family":"Kahveci","sequence":"additional","affiliation":[{"name":"Department of Cardiology Kartal Kosuyolu Heart &amp; Research Hospital  Istanbul Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,8,20]]},"container-title":["Echocardiography"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fecho.13629","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/echo.13629","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,24]],"date-time":"2023-09-24T09:11:36Z","timestamp":1695546696000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/echo.13629"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,8]]},"references-count":0,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2017,8]]}},"alternative-id":["10.1111\/echo.13629"],"URL":"https:\/\/doi.org\/10.1111\/echo.13629","archive":["Portico"],"relation":{},"ISSN":["0742-2822","1540-8175"],"issn-type":[{"type":"print","value":"0742-2822"},{"type":"electronic","value":"1540-8175"}],"subject":[],"published":{"date-parts":[[2017,8]]}}}