{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T03:31:42Z","timestamp":1771471902522,"version":"3.50.1"},"reference-count":6,"publisher":"Wiley","license":[{"start":{"date-parts":[[2020,1,27]],"date-time":"2020-01-27T00:00:00Z","timestamp":1580083200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Cardiology"],"published-print":{"date-parts":[[2020,1,27]]},"abstract":"<jats:p>The association of pulmonary atresia, ventricular septal defect (VSD) and major aortopulmonary collaterals (MAPCA) is an extreme form of tetralogy of Fallot (TOF). It carries a high mortality risk if not intervened on during infancy with only 20% of unoperated patients surviving into adulthood. We present the case of a 40-year-old man who presented for evaluation prior to retinal surgery and was found to have hypoxia and a loud murmur. Cardiac catheterization was performed in the general catheterization laboratory, demonstrating a membranous VSD, pulmonary atresia, and MAPCA. We highlight the challenges and limitations that an adult interventional cardiologist may have when encountering these patients.<\/jats:p>","DOI":"10.1155\/2020\/4726529","type":"journal-article","created":{"date-parts":[[2020,1,27]],"date-time":"2020-01-27T18:30:59Z","timestamp":1580149859000},"page":"1-3","source":"Crossref","is-referenced-by-count":1,"title":["An Unusual Cause of Hypoxia: Ventricular Septal Defect, Pulmonary Artery Atresia, and Major Aortopulmonary Collaterals Diagnosed in the Adult Cardiac Catheterization Lab"],"prefix":"10.1155","volume":"2020","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7745-7162","authenticated-orcid":true,"given":"Katia","family":"Bravo-Jaimes","sequence":"first","affiliation":[{"name":"Division of Cardiology, University of Texas Health Science Center at Houston, Houston, Texas, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1245-7943","authenticated-orcid":true,"given":"Brian","family":"Walton","sequence":"additional","affiliation":[{"name":"Division of Cardiology, University of Texas Health Science Center at Houston, Houston, Texas, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Poyee","family":"Tung","sequence":"additional","affiliation":[{"name":"Division of Cardiology, University of Texas Health Science Center at Houston, Houston, Texas, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard W.","family":"Smalling","sequence":"additional","affiliation":[{"name":"Division of Cardiology, University of Texas Health Science Center at Houston, Houston, Texas, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.115.019307"},{"issue":"2","key":"2","doi-asserted-by":"crossref","first-page":"601","DOI":"10.1016\/j.athoracsur.2019.01.046","volume":"108","year":"2019","journal-title":"The Annals of Thoracic Surgery"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1177\/2150135115598559"},{"issue":"1","key":"4","first-page":"70","volume":"47","year":"2015","journal-title":"Acta Medica Indonesiana"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(88)90285-8"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1016\/s0003-4975(00)01284-4"}],"container-title":["Case Reports in Cardiology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/cric\/2020\/4726529.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/cric\/2020\/4726529.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/cric\/2020\/4726529.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,1,27]],"date-time":"2020-01-27T18:31:01Z","timestamp":1580149861000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/cric\/2020\/4726529\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1,27]]},"references-count":6,"alternative-id":["4726529","4726529"],"URL":"https:\/\/doi.org\/10.1155\/2020\/4726529","relation":{},"ISSN":["2090-6404","2090-6412"],"issn-type":[{"value":"2090-6404","type":"print"},{"value":"2090-6412","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,1,27]]}}}