{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T11:24:43Z","timestamp":1740137083122,"version":"3.37.3"},"reference-count":0,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2017,8,30]],"date-time":"2017-08-30T00:00:00Z","timestamp":1504051200000},"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":[[2017,12]]},"abstract":"<jats:p>Obstructive prosthetic valve thrombosis (<jats:styled-content style=\"fixed-case\">PVT<\/jats:styled-content>) is a rare but severe complication that usually occurs in the presence of suboptimal anticoagulation. Although fluoroscopy is commonly used to detect abnormal leaflet motion as a surrogate marker for <jats:styled-content style=\"fixed-case\">PVT<\/jats:styled-content>, its inability to directly visualize adjacent tissue and valve physiology leaves it susceptible to miss clinically important <jats:styled-content style=\"fixed-case\">PVT<\/jats:styled-content>. In this manuscript, we report the case of a 54\u2010year\u2010old woman with a mechanical mitral valve who was admitted to our institute with exertional dyspnea. Although valve fluoroscopy was normal, subsequent 3D echocardiography and <jats:styled-content style=\"fixed-case\">ECG<\/jats:styled-content>\u2010gated multiphase computed tomography confirmed the presence of <jats:styled-content style=\"fixed-case\">PVT<\/jats:styled-content> that was subsequently treated successfully with surgical replacement. Our case demonstrates the utility of multimodality imaging in establishing <jats:styled-content style=\"fixed-case\">PVT<\/jats:styled-content> in patients with abnormal prosthetic valve physiology and progressive symptoms.<\/jats:p>","DOI":"10.1111\/echo.13670","type":"journal-article","created":{"date-parts":[[2017,8,31]],"date-time":"2017-08-31T09:21:47Z","timestamp":1504171307000},"page":"1965-1966","source":"Crossref","is-referenced-by-count":0,"title":["The Doppler paradox"],"prefix":"10.1111","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4033-6425","authenticated-orcid":false,"given":"Ioannis","family":"Ntalas","sequence":"first","affiliation":[{"name":"Department of Cardiology Guy's and St. Thomas' NHS Foundation Trust  London United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00falia","family":"Kar\u00e1dy","sequence":"additional","affiliation":[{"name":"Department of Cardiology Guy's and St. Thomas' NHS Foundation Trust  London United Kingdom"},{"name":"MTA\u2010SE Cardiovascular Imaging Research Group Heart and Vascular Center Semmelweis University  Budapest Hungary"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stam","family":"Kapetanakis","sequence":"additional","affiliation":[{"name":"Department of Cardiology Guy's and St. Thomas' NHS Foundation Trust  London United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ronak","family":"Rajani","sequence":"additional","affiliation":[{"name":"Department of Cardiology Guy's and St. Thomas' NHS Foundation Trust  London United Kingdom"},{"name":"Division of Imaging Sciences and Bioengineering King's College London  London United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,8,30]]},"container-title":["Echocardiography"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fecho.13670","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/echo.13670","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,29]],"date-time":"2023-09-29T23:59:47Z","timestamp":1696031987000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/echo.13670"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,8,30]]},"references-count":0,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2017,12]]}},"alternative-id":["10.1111\/echo.13670"],"URL":"https:\/\/doi.org\/10.1111\/echo.13670","archive":["Portico"],"relation":{},"ISSN":["0742-2822","1540-8175"],"issn-type":[{"type":"print","value":"0742-2822"},{"type":"electronic","value":"1540-8175"}],"subject":[],"published":{"date-parts":[[2017,8,30]]}}}