<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1409-4142</journal-id>
<journal-title><![CDATA[Revista Costarricense de Cardiología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. costarric. cardiol]]></abbrev-journal-title>
<issn>1409-4142</issn>
<publisher>
<publisher-name><![CDATA[Asociación Costarricense de Cardiología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1409-41422025000300047</article-id>
<article-id pub-id-type="doi">10.63885/rcc.v27n2.005</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Reporte de caso de una endocarditis tardía de prótesis valvular mitral mecánica asociado a dehiscencia del anillo tricuspídeo]]></article-title>
<article-title xml:lang="en"><![CDATA[Case report of late infective endocarditis of a mechanical mitral valve prosthesis associated with tricuspid annular dehiscence]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bogantes-Pereira]]></surname>
<given-names><![CDATA[Eric]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vindas-Porras]]></surname>
<given-names><![CDATA[Johanna]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital México Servicio de Cardiología ]]></institution>
<addr-line><![CDATA[ San José]]></addr-line>
<country>Costa Rica</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Costa Rica Postgrado de Cardiología ]]></institution>
<addr-line><![CDATA[ San José]]></addr-line>
<country>Costa Rica</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2025</year>
</pub-date>
<volume>27</volume>
<numero>2</numero>
<fpage>47</fpage>
<lpage>51</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_arttext&amp;pid=S1409-41422025000300047&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_abstract&amp;pid=S1409-41422025000300047&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_pdf&amp;pid=S1409-41422025000300047&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen Una mujer de 51 años con antecedente de reemplazo valvular mitral mecánico y anuloplastía del anillo tricuspídeo se presentó para realización de ecocardiograma transesofágico control. De manera incidental se documentó una insuficiencia tricuspídea severa, debido a dehiscencia del anillo tricuspídeo y una prótesis mecánica mitral normofuncionante, pero con múltiples vegetaciones. La dehiscencia del anillo tricuspídeo tiene una presentación infrecuente, pero que puede generar un impacto significativo en el estado clínico del paciente, ameritando reintervención quirúrgica. La endocarditis de válvula protésica continúa siendo una complicación de alta mortalidad y su visualización mediante las técnicas de imagen disponibles suele ser más retadora en comparación con la afectación en las válvulas nativas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract A 51 years old woman with a history of mechanical mitral valve replacement and annuloplasty of the tricuspid annulus, presented for a transesophageal echocardiogram and incidentally: a severe tricuspid regurgitation due to dehiscence of the tricuspid annulus and a normally functioning mitral mechanical prosthesis but with multiple vegetations, was documented. Tricuspid annulus dehiscence has an unusual presentation, but it can have a significant impact on the patient&#8217;s clinical condition, requiring surgical reintervention. Prosthetic valve endocarditis continues to be a complication of high mortality, and its visualization by available imaging techniques is usually more challenging compared to involvement in native valves.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Endocarditis]]></kwd>
<kwd lng="es"><![CDATA[Prótesis valvular mecánica mitral]]></kwd>
<kwd lng="es"><![CDATA[Dehiscencia del anillo tricuspídeo]]></kwd>
<kwd lng="es"><![CDATA[Ecocardiograma transesofágico 3D.]]></kwd>
<kwd lng="en"><![CDATA[Endocarditis]]></kwd>
<kwd lng="en"><![CDATA[Mechanical prosthetic mitral valve]]></kwd>
<kwd lng="en"><![CDATA[Dehiscence of the tricuspid prosthetic ring]]></kwd>
<kwd lng="en"><![CDATA[3D echocardiography.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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