{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,2]],"date-time":"2025-10-02T00:34:18Z","timestamp":1759365258928,"version":"build-2065373602"},"reference-count":14,"publisher":"BMJ","issue":"9","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,9,16]]},"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:p>Both infundibular pulmonic stenosis with a bicuspid pulmonic valve and a spontaneously ruptured tricuspid valve are infrequent cardiac anomalies to come across in day-to-day cardiology practice. We are writing about a middle-aged woman who presented with a spontaneous rupture of the tricuspid valve chordae, most probably secondary to right ventricular pressure overload from an infundibular pulmonic stenosis with a bicuspid pulmonic valve. A successful surgical repair relieved her of her symptoms.<\/jats:p>","DOI":"10.1136\/bcr-2025-267569","type":"journal-article","created":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T06:15:28Z","timestamp":1759299328000},"page":"e267569","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Spontaneous tricuspid valve chordal rupture in infundibular pulmonic stenosis with bicuspid pulmonic valve"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4179-4428","authenticated-orcid":false,"given":"Rupendra Nath","family":"Saha","sequence":"first","affiliation":[{"name":"Cardiology, AIIMS Rishikesh, Rishikesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-7626-417X","authenticated-orcid":false,"given":"Bhanu","family":"Duggal","sequence":"additional","affiliation":[{"name":"Cardiology, AIIMS Rishikesh, Rishikesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Avinash","family":"Prakash","sequence":"additional","affiliation":[{"name":"CTVS, All India Institute of Medical Sciences - Rishikesh, Rishikesh, Uttarakhand, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raghuraj","family":"Chawla","sequence":"additional","affiliation":[{"name":"Cardiology, AIIMS Rishikesh, Rishikesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,9,30]]},"reference":[{"key":"2025093023152035000_18.9.e267569.1","first-page":"337","article-title":"The incidence of congenital bicuspid or bileaflet and quadricuspid or quadrileaflet arterial valves in 3,861 donor hearts in the European Homograft Bank","volume":"18","author":"Jashari","year":"2009","journal-title":"J Heart Valve Dis"},{"key":"2025093023152035000_18.9.e267569.2","first-page":"83","article-title":"Bicuspid Pulmonic Valve and Pulmonary Artery Aneurysm","volume":"5","author":"Jamis-Dow","year":"2014","journal-title":"Cardiol Res"},{"key":"2025093023152035000_18.9.e267569.3","first-page":"467","article-title":"Traumatic Tricuspid Valve Rupture after Blunt Chest Trauma - A Case Report and Review of the Literature","volume":"110","author":"Stoica","year":"2015","journal-title":"Chirurgia (Bucur)"},{"key":"2025093023152035000_18.9.e267569.4","doi-asserted-by":"crossref","first-page":"260","DOI":"10.1177\/21501351211044128","article-title":"Neonatal Rupture of the Tricuspid Valve and Maternal Lupus: Is There a Correlation?","volume":"13","author":"Carretero Bellon","year":"2022","journal-title":"World J Pediatr Congenit Heart Surg"},{"key":"2025093023152035000_18.9.e267569.5","first-page":"58","article-title":"Spontaneous chordae rupture of tricuspid valve in patient with chronic renal failure","volume":"9","author":"Kim","year":"2008","journal-title":"Eur J Echocardiogr"},{"key":"2025093023152035000_18.9.e267569.6","doi-asserted-by":"crossref","first-page":"472","DOI":"10.1111\/echo.13130","article-title":"Spontaneous Tricuspid Valve Chordal Rupture in Idiopathic Pulmonary Hypertension","volume":"33","author":"Rodrigues","year":"2016","journal-title":"Echocardiography"},{"key":"2025093023152035000_18.9.e267569.7","doi-asserted-by":"publisher","DOI":"10.1016\/0002-8703(80)90769-3"},{"key":"2025093023152035000_18.9.e267569.8","doi-asserted-by":"crossref","first-page":"246","DOI":"10.4067\/S0034-98872014000200014","article-title":"Spontaneous rupture of tricuspid valve papillary muscle in pulmonary hypertension secondary to HIV infection. 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