{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T15:16:55Z","timestamp":1761664615091,"version":"3.41.2"},"reference-count":18,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["SAGE Open Medical Case Reports"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:p> Mitral facies is a classical feature of chronic mitral stenosis (MS) that commonly associated with low cardiac output and pulmonary hypertension. A 44-year-old woman presented with 10-year history of refractory right heart failure. We noted distinctive malar rash appearance on her face known as \u201cmitral facies.\u201d An echocardiogram revealed severe MS and other significant valve involvement with typical characteristics of rheumatic valvular heart disease. Doppler measurement showed decreased cardiac output and severe pulmonary hypertension in this patient. The mitral facies could be an alarming sign of a more severe and advanced form of MS. It also can be a marker of impaired cardiac output and concomitant severe pulmonary hypertension. <\/jats:p>","DOI":"10.1177\/2050313x231200965","type":"journal-article","created":{"date-parts":[[2023,9,15]],"date-time":"2023-09-15T10:45:25Z","timestamp":1694774725000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Mitral facies\u2014a classic feature of chronic mitral stenosis: A case report"],"prefix":"10.1177","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4604-4119","authenticated-orcid":false,"given":"Fatwiadi Apulita","family":"Ginting Munte","sequence":"first","affiliation":[{"name":"Department of Cardiology and Vascular Medicine, Faculty of Medicine, University of Indonesia, National Cardiovascular Center Harapan Kita, Jakarta, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adhytya Pratama","family":"Ahmadi","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Vascular Medicine, Faculty of Medicine, University of Indonesia, National Cardiovascular Center Harapan Kita, Jakarta, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mira","family":"Fauziah","sequence":"additional","affiliation":[{"name":"Division of Clinical Cardiology, Department of Cardiology and Vascular Medicine, Faculty of Medicine, University of Indonesia, National Cardiovascular Center Harapan Kita, Jakarta, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dian Yaniarti","family":"Hasanah","sequence":"additional","affiliation":[{"name":"Division of Clinical Cardiology, Department of Cardiology and Vascular Medicine, Faculty of Medicine, University of Indonesia, National Cardiovascular Center Harapan Kita, Jakarta, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,9,15]]},"reference":[{"key":"bibr1-2050313X231200965","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehab395"},{"key":"bibr2-2050313X231200965","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(05)70267-X"},{"key":"bibr3-2050313X231200965","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.104.532498"},{"key":"bibr4-2050313X231200965","first-page":"1672","volume-title":"The ESC textbook of cardiovascular medicine","author":"Baumgartner H","year":"2019","edition":"3"},{"key":"bibr5-2050313X231200965","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/12.suppl_B.55"},{"key":"bibr6-2050313X231200965","unstructured":"Dima C, O\u2019Brien TX. 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