Evidence map›Paper›PMID 41906558›Full record

ArticleJACC. Case reports2026

Exertional Collapse in a Runner With Mixed Aortic Valve Disease: Return to Training After Ross Procedure.

Ranvir Bhatia, Robert Zorc, Jennifer Digian, Nimesh Desai, Neel Chokshi

Abstract readCase Reports
In one paragraph

Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Ranvir BhatiaPenn Sports Cardiology and Fitness Program, Division of Cardiovascular Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA. Electronic address: Ranvir.Bhatia@pennmedicine.upenn.edu.
Robert ZorcPenn Sports Cardiology and Fitness Program, Division of Cardiovascular Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Jennifer DigianPenn Aorta Center, Division of Cardiovascular Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Nimesh DesaiPenn Aorta Center, Division of Cardiovascular Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Neel ChokshiPenn Sports Cardiology and Fitness Program, Division of Cardiovascular Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBicuspid aortic valve represents a rare but important cause of sudden cardiac death in athletes. CASE SUMMARY: A 48-year-old runner with a bicuspid aortic valve with significant mixed aortic valve disease experienced a pulseless electrical activity arrest after a race and underwent a Ross procedure. Fifteen months after surgery, he presented to clinic for guidance on return to training. After reassuring cardiopulmonary exercise testing and shared decision-making, he has returned to training without complications. DISCUSSION: This case highlights considerations of the Ross procedure in the adult athletic population, the complex nature of aortic valve disease in athletes, and guideline-directed postarrest evaluation and return to sport. TAKE-HOME MESSAGES: While the Ross procedure offers unique advantages, further data are needed to assess durability in adult athletes. Athletes with at least moderate aortic valve disease warrant formal exercise testing and consideration of sport-specific stressors.

Indexed as

aortic valve replacementbicuspid aortic valvecardiopulmonary exercise testingPEA arrestpostarrest careRoss proceduresevere aortic regurgitationsevere aortic stenosisshared decision-making

Identifiers

PMID41906558
PMCPMC13045560

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.