{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,25]],"date-time":"2025-10-25T19:09:41Z","timestamp":1761419381391,"version":"3.28.0"},"reference-count":10,"publisher":"Texas Heart Institute Journal","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,2]]},"abstract":"<jats:p>A high-velocity gradient across the left ventricular outflow tract is most often caused by aortic valve stenosis. We describe the unusual case of a high-velocity gradient caused by a kinked ascending aortic graft in a 69-year-old man who had Marfan syndrome. The patient had a history of ascending aortic aneurysm and had previously undergone replacement of the aortic root and ascending aorta with use of a bioprosthetic valved graft. The kinking was caused by dilation of the native aortic arch. The patient underwent successful hemi-arch replacement and repair of the kinked graft. Late complications and reoperation after proximal aortic surgery in patients with Marfan syndrome are rare, and a high-velocity left ventricular outflow tract gradient caused by the kinking of the aorta is unusual.<\/jats:p>","DOI":"10.14503\/thij-18-6618","type":"journal-article","created":{"date-parts":[[2020,2,21]],"date-time":"2020-02-21T19:49:05Z","timestamp":1582314545000},"page":"38-40","source":"Crossref","is-referenced-by-count":1,"title":["Unusual Cause of Heart Failure in a Patient with Marfan Syndrome: A Late Complication of Bioprosthetic Valved Graft Replacement"],"prefix":"10.14503","volume":"47","author":[{"given":"Prerna B.","family":"Bansal","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hari P.","family":"Chaliki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kantha R.","family":"Kolla","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roger L.","family":"Click","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alberto","family":"Pochettino","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5628","reference":[{"issue":"3","key":"i1526-6702-47-1-38-b1","series-title":"J Am Coll Cardiol","first-page":"191","article-title":"The 50-year history, controversy, and clinical implications of left ventricular outflow tract obstruction in hypertrophic cardiomyopathy: from idiopathic hypertrophic subaortic stenosis to hypertrophic cardiomyopathy","volume":"54","year":"2009","unstructured":"Maron\n              BJ\n            , MaronMS, WigleED, BraunwaldE.\n          The 50-year history, controversy, and clinical implications of left ventricular outflow tract obstruction in hypertrophic cardiomyopathy: from idiopathic hypertrophic subaortic stenosis to hypertrophic cardiomyopathy. J Am Coll Cardiol2009;54(3):191\u2013200."},{"issue":"1","key":"i1526-6702-47-1-38-b2","series-title":"Eur J Echocardiogr","first-page":"160","article-title":"Dynamic mild subaortic left ventricular obstruction caused by an accessory mitral valve attached to the anterior mitral valve in a young pregnant woman","volume":"9","year":"2008","unstructured":"D'Aloia\n              A\n            , VizzardiE, ChiariE, FracassiF, ZaniniG, FaggianoP, Dei CasL.\n          Dynamic mild subaortic left ventricular obstruction caused by an accessory mitral valve attached to the anterior mitral valve in a young pregnant woman. Eur J Echocardiogr2008;9(1):160\u20131."},{"issue":"11","key":"i1526-6702-47-1-38-b3","series-title":"Echocardiography","first-page":"1753","article-title":"Fixed left ventricular outflow tract obstruction mimicking hypertrophic obstructive cardiomyopathy: pitfalls in diagnosis","volume":"33","year":"2016","unstructured":"Ayoub\n              C\n            , BriegerD, ChardR, YiannikasJ.\n          Fixed left ventricular outflow tract obstruction mimicking hypertrophic obstructive cardiomyopathy: pitfalls in diagnosis. Echocardiography2016;33(11):1753\u201361."},{"issue":"1","key":"i1526-6702-47-1-38-b4","series-title":"JBR-BTR","first-page":"27","article-title":"Sporadic supravalvular stenosis in a young man","volume":"96","year":"2013","unstructured":"Ghodduci\n              KM\n            , AnticM, TanakaK, VerdriesD, KerkhoveD.\n          Sporadic supravalvular stenosis in a young man. JBR-BTR2013;96(1):27\u20139."},{"issue":"5","key":"i1526-6702-47-1-38-b5","series-title":"Eur J Cardiothorac Surg","first-page":"671","article-title":"Reoperations and late adverse outcome in Marfan patients following cardiovascular surgery","volume":"25","year":"2004","unstructured":"Carrel\n              T\n            , BeyelerL, SchnyderA, ZurmuhleP, BerdatP, SchmidliJ, EcksteinFS.\n          Reoperations and late adverse outcome in Marfan patients following cardiovascular surgery. Eur J Cardiothorac Surg2004;25(5):671\u20135."},{"issue":"3","key":"i1526-6702-47-1-38-b6","series-title":"Radiology","first-page":"727","article-title":"Thoracoabdominal aorta in Marfan syndrome: MR imaging findings of progression of vasculopathy after surgical repair","volume":"203","year":"1997","unstructured":"Kawamoto\n              S\n            , BluemkeDA, TraillTA, ZerhouniEA.\n          Thoracoabdominal aorta in Marfan syndrome: MR imaging findings of progression of vasculopathy after surgical repair. Radiology1997;203(3):727\u201332."},{"issue":"1","key":"i1526-6702-47-1-38-b7","series-title":"Ann Thorac Surg","first-page":"70","article-title":"Left ventricular outflow tract obstruction with mitral valve replacement in small ventricular cavities","volume":"41","year":"1986","unstructured":"Jett\n              GK\n            , JettMD, BarnhartGR, van Rijk-SwikkerGL, JonesM, ClarkRE.\n          Left ventricular outflow tract obstruction with mitral valve replacement in small ventricular cavities. Ann Thorac Surg1986;41(1):70\u20134."},{"issue":"4","key":"i1526-6702-47-1-38-b8","series-title":"J Thorac Imaging","first-page":"W88","article-title":"Expanding arch aneurysm causing a \u201ckink\u201d in a Bentall graft and heart failure","volume":"27","year":"2012","unstructured":"Al-Mohaissen\n              MA\n            , SkarsgardP, KhooC, ViraniSA, MuntB, IgnaszewskiA.\n          Expanding arch aneurysm causing a \u201ckink\u201d in a Bentall graft and heart failure. J Thorac Imaging2012;27(4):W88\u201390."},{"issue":"2","key":"i1526-6702-47-1-38-b9","series-title":"J Med Ultrason (2001)","first-page":"291","article-title":"A kinked aortic tube graft after aortic root replacement causes heart failure: usefulness of the right parasternal approach on echocardiography","volume":"42","year":"2015","unstructured":"Numaguchi\n              K\n            , HatakeS, UedaT, TomitaY.\n          A kinked aortic tube graft after aortic root replacement causes heart failure: usefulness of the right parasternal approach on echocardiography. J Med Ultrason (2001)2015;42(2):291\u20132."},{"issue":"8","key":"i1526-6702-47-1-38-b10","series-title":"Eur J Echocardiogr","first-page":"645","article-title":"Echocardiography in aortic diseases: EAE recommendations for clinical practice [published erratum appears in Eur J Echocardiogr 2011;12(8):642]","volume":"11","year":"2010","unstructured":"Evangelista\n              A\n            , FlachskampfFA, ErbelR, Antonini-CanterinF, VlachopoulosC, RocchiG, \n          et al. Echocardiography in aortic diseases: EAE recommendations for clinical practice [published erratum appears in Eur J Echocardiogr 2011;12(8):642]. Eur J Echocardiogr2010;11(8):645\u201358."}],"container-title":["Texas Heart Institute Journal"],"original-title":[],"link":[{"URL":"https:\/\/thij.kglmeridian.com\/view\/journals\/thij\/47\/1\/article-p38.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/meridian.allenpress.com\/thij\/article-pdf\/47\/1\/38\/2445520\/thij-18-6618.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thij.kglmeridian.com\/downloadpdf\/journals\/thij\/47\/1\/article-p38.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thij.kglmeridian.com\/downloadpdf\/journals\/thij\/47\/1\/article-p38.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,7]],"date-time":"2024-11-07T15:35:45Z","timestamp":1730993745000},"score":1,"resource":{"primary":{"URL":"https:\/\/thij.kglmeridian.com\/view\/journals\/thij\/47\/1\/article-p38.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2]]},"references-count":10,"journal-issue":{"issue":"1"},"URL":"https:\/\/doi.org\/10.14503\/thij-18-6618","relation":{},"ISSN":["0730-2347","1526-6702"],"issn-type":[{"type":"print","value":"0730-2347"},{"type":"electronic","value":"1526-6702"}],"subject":[],"published":{"date-parts":[[2020,2]]}}}