{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T13:03:12Z","timestamp":1762866192585,"version":"3.44.0"},"reference-count":6,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>We describe a 34-year-old man with an ostium secundum atrial septal defect, Ebstein's anomaly of the tricuspid valve with severe tricuspid regurgitation, congenital valvular pulmonary stenosis, rheumatic mitral stenosis and regurgitation with aortic regurgitation, who presented with decompensated heart failure after developing atrial fibrillation. The complex haemodynamic interplay of these lesions is also discussed.<\/jats:p>","DOI":"10.1136\/bcr-2012-008032","type":"journal-article","created":{"date-parts":[[2013,5,4]],"date-time":"2013-05-04T00:26:46Z","timestamp":1367627206000},"page":"bcr2012008032","source":"Crossref","is-referenced-by-count":1,"title":["Quadrivalvular heart disease of mixed congenital and rheumatic aetiology with concomitant ostium secundum atrial septal defect and Ebstein's anomaly of the tricuspid valve"],"prefix":"10.1136","volume":"2013","author":[{"given":"Ranjan K","family":"Shetty","sequence":"first","affiliation":[{"name":"Department of Cardiology, Kasturba Medical College, Manipal, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G","family":"Vivek","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Kasturba Medical College, Manipal, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kushal","family":"Naha","sequence":"additional","affiliation":[{"name":"Department of Medicine, Kasturba Medical College, Manipal, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N R","family":"Rau","sequence":"additional","affiliation":[{"name":"Department of Medicine, Kasturba Medical College, Manipal, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K","family":"Nayak","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Technology, Manipal College of Allied Health Sciences, Manipal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2013,5,3]]},"reference":[{"key":"2025082701213862000_2013.may03_1.bcr2012008032.1","doi-asserted-by":"crossref","first-page":"1903","DOI":"10.1016\/j.jacc.2009.06.048","article-title":"Adult congenital heart disease importance of the right ventricle","volume":"2013","author":"Warnes","year":"2009","journal-title":"J Am Coll Cardiol"},{"key":"2025082701213862000_2013.may03_1.bcr2012008032.2","first-page":"e133","article-title":"Ebstein's anomaly, Wolff-Parkinson-White syndrome and rheumatic mitral stenosis: role for combined electrophysiological and surgical management","volume":"2013","author":"Namboodiri","year":"2007","journal-title":"Singapore Med J"},{"key":"2025082701213862000_2013.may03_1.bcr2012008032.3","doi-asserted-by":"crossref","first-page":"460","DOI":"10.1016\/j.jacc.2008.03.064","article-title":"Functional status after operation for Ebstein anomaly: The Mayo Clinic experience","volume":"2013","author":"Brown","year":"2008","journal-title":"J Am Coll Cardiol"},{"key":"2025082701213862000_2013.may03_1.bcr2012008032.4","first-page":"217","article-title":"Ebstein's anomaly of the tricuspid valve with rheumatic mitral stenosis and aortic incompetence","volume":"2013","author":"Ji","year":"2009","journal-title":"J Heart Valve Dis"},{"key":"2025082701213862000_2013.may03_1.bcr2012008032.5","first-page":"362","article-title":"Aortic arch interruption with rheumatic mitral stenosis and Ebstein's anomaly. Report of a case with successful surgical outcome","volume":"2013","author":"Bapat","year":"1997","journal-title":"Tex Heart Inst J"},{"key":"2025082701213862000_2013.may03_1.bcr2012008032.6","first-page":"601","article-title":"Successful balloon mitral valvotomy in rheumatic mitral stenosis with Ebstein's anomaly","volume":"2013","author":"Tewari","year":"2011","journal-title":"J Heart Valve Dis"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2012-008032","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T08:21:50Z","timestamp":1756282910000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2012-008032"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,5,3]]},"references-count":6,"alternative-id":["10.1136\/bcr-2012-008032"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2012-008032","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2013,5,3]]}}}