{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:30:00Z","timestamp":1787070600630,"version":"build-2736575974"},"reference-count":6,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                    <jats:p>A 50-year-old man accessed the echo laboratory for dyspnea. His medical history was unremarkable. Transthoracic two-dimensional echocardiogram showed a posterior leaflet of the mitral valve prolapse associated with eccentric regurgitant jet. An excavation of the medium interventricular septum, in the absence of left\u2013right interventricular shunt, was detected as an incidental finding and considered as partial ventricular septum defect. Owing to the absence of acute myocardial infarction and thrombolysis in patient's medical history, this finding has been considered \u201cpac-man heart\u201d of the congenital origin. Of note, the association of this deformity with mitral valve prolapse is reported for the first time.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jcecho.jcecho_8_21","type":"journal-article","created":{"date-parts":[[2024,6,1]],"date-time":"2024-06-01T15:51:08Z","timestamp":1717257068000},"page":"113-115","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["\"Pac-Man Heart\" and Mitral Valve Prolapse"],"prefix":"10.4103","volume":"31","author":[{"given":"Angela Pamela","family":"Peluso","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ivana","family":"Iesu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gennaro","family":"Provenza","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rodolfo","family":"Citro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-12-20240904","doi-asserted-by":"crossref","first-page":"316","DOI":"10.1093\/ejechocard\/jem068","article-title":"Partial ventricular septal defect (Pacman Heart)","volume":"9","author":"Pujol","year":"2008","journal-title":"Eur J Echocardiogr"},{"key":"R2-12-20240904","doi-asserted-by":"crossref","first-page":"2158","DOI":"10.1161\/CIRCULATIONAHA.113.006702","article-title":"Epidemiology and pathophysiology of mitral valve prolapse: New insights into disease progression, genetics, and molecular basis","volume":"129","author":"Delling","year":"2014","journal-title":"Circulation"},{"key":"R3-12-20240904","doi-asserted-by":"crossref","first-page":"S126","DOI":"10.1016\/j.ihj.2015.09.012","article-title":"Parachute mitral valve and pacman deformity of the ventricular septum in a middle-aged","volume":"68","author":"Mohan","year":"2016","journal-title":"Indian Heart J"},{"key":"R4-12-20240904","doi-asserted-by":"crossref","first-page":"1245","DOI":"10.1111\/echo.14052","article-title":"An unusual image: Pacman heart","volume":"35","author":"Celik","year":"2018","journal-title":"Echocardiography"},{"key":"R5-12-20240904","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1080\/00015385.2019.1570657","article-title":"Concomitant partial ventricular septal defect (Pac-man\u00a9 heart) and left persistent superior vena cava accidentally discovered in young adult","volume":"75","author":"Abdelnabi","year":"2020","journal-title":"Acta Cardiol"},{"key":"R6-12-20240904","doi-asserted-by":"crossref","first-page":"157","DOI":"10.2214\/ajr.136.1.157","article-title":"Endocardial cushion defects: Embryology, anatomy, and angiography","volume":"136","author":"Towbin","year":"1981","journal-title":"AJR Am J Roentgenol"}],"container-title":["Journal of Cardiovascular Echography"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jcecho.jcecho_8_21","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:31:53Z","timestamp":1787067113000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jcecho.jcecho_8_21"}},"subtitle":["An Unreported Liaison"],"short-title":[],"issued":{"date-parts":[[2021,4]]},"references-count":6,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.4103\/jcecho.jcecho_8_21","relation":{},"ISSN":["2211-4122"],"issn-type":[{"value":"2211-4122","type":"print"}],"subject":[],"published":{"date-parts":[[2021,4]]}}}