{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,12]],"date-time":"2025-06-12T10:44:15Z","timestamp":1749725055424,"version":"3.40.5"},"reference-count":2,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2019,5,13]],"date-time":"2019-05-13T00:00:00Z","timestamp":1557705600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Echocardiography"],"published-print":{"date-parts":[[2019,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>We report a patient admitted with acute pulmonary edema 3\u00a0months after mitral valve repair, with no history of inter\u2010current febrile illness. Transesophageal echocardiography (<jats:styled-content style=\"fixed-case\">TEE<\/jats:styled-content>) demonstrated severe mitral regurgitation (<jats:styled-content style=\"fixed-case\">MR<\/jats:styled-content>) and an abnormally positioned annuloplasty ring, suggestive of dehiscence. The extreme extent of ring dehiscence was visualized on 3\u2010dimensional <jats:styled-content style=\"fixed-case\">TEE<\/jats:styled-content> (3D), with near\u2010complete separation of the ring. <jats:italic>Strept.Mitis<\/jats:italic> and <jats:italic>Cristatus<\/jats:italic> were isolated from the ring following redo mitral valve surgery, confirming endocarditis as the mechanism for dehiscence. This report highlights the additive role and superior ability of 3D <jats:styled-content style=\"fixed-case\">TEE<\/jats:styled-content> in the identification and anatomic delineation of mitral ring dehiscence.<\/jats:p>","DOI":"10.1111\/echo.14359","type":"journal-article","created":{"date-parts":[[2019,5,14]],"date-time":"2019-05-14T04:59:51Z","timestamp":1557809991000},"page":"1219-1221","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Separation anxiety: Extreme dehiscence of a mitral annuloplasty ring"],"prefix":"10.1111","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4397-5954","authenticated-orcid":false,"given":"Mary","family":"Mashicharan","sequence":"first","affiliation":[{"name":"Department of Cardiology Glenfield Hospital University Hospital Leicester Leicester UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ian","family":"Loke","sequence":"additional","affiliation":[{"name":"Department of Cardiology Glenfield Hospital University Hospital Leicester Leicester UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Viktor","family":"Zlocha","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery Glenfield Hospital University Hospital Leicester Leicester UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeffrey","family":"Khoo","sequence":"additional","affiliation":[{"name":"Department of Cardiology Glenfield Hospital University Hospital Leicester Leicester UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,5,13]]},"reference":[{"key":"e_1_2_2_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.297.12.1354"},{"key":"e_1_2_2_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2008.12.059"}],"container-title":["Echocardiography"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/echo.14359","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/echo.14359","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/echo.14359","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,10]],"date-time":"2023-09-10T18:10:45Z","timestamp":1694369445000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/echo.14359"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,5,13]]},"references-count":2,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2019,6]]}},"alternative-id":["10.1111\/echo.14359"],"URL":"https:\/\/doi.org\/10.1111\/echo.14359","archive":["Portico"],"relation":{},"ISSN":["0742-2822","1540-8175"],"issn-type":[{"type":"print","value":"0742-2822"},{"type":"electronic","value":"1540-8175"}],"subject":[],"published":{"date-parts":[[2019,5,13]]},"assertion":[{"value":"2019-03-09","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-04-13","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-05-13","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}