{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T03:16:34Z","timestamp":1771038994186,"version":"3.50.1"},"reference-count":19,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T00:00:00Z","timestamp":1771027200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T00:00:00Z","timestamp":1771027200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Pediatr Cardiol"],"DOI":"10.1007\/s00246-026-04168-5","type":"journal-article","created":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T02:33:00Z","timestamp":1771036380000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Changing Course-Starnes Takedown in High-Risk Children and Review of the Current Literature"],"prefix":"10.1007","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0420-4791","authenticated-orcid":false,"given":"Mimi X.","family":"Deng","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1221-081X","authenticated-orcid":false,"given":"Lindsay","family":"Freud","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6373-0532","authenticated-orcid":false,"given":"Osami","family":"Honjo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2026,2,14]]},"reference":[{"key":"4168_CR1","doi-asserted-by":"publisher","first-page":"481","DOI":"10.1161\/CIRCULATIONAHA.115.015839","volume":"132","author":"LR Freud","year":"2015","unstructured":"Freud LR, Escobar-Diaz MC, Kalish BT et al (2015) Outcomes and predictors of perinatal mortality in fetuses with Ebstein anomaly or tricuspid valve dysplasia in the current era: a multicenter study. Circulation 132:481\u2013489. https:\/\/doi.org\/10.1161\/CIRCULATIONAHA.115.015839","journal-title":"Circulation"},{"key":"4168_CR2","doi-asserted-by":"publisher","first-page":"785","DOI":"10.1016\/j.athoracsur.2018.04.049","volume":"106","author":"KA Holst","year":"2018","unstructured":"Holst KA, Dearani JA, Said SM et al (2018) Surgical management and outcomes of Ebstein anomaly in neonates and infants: a Society of Thoracic Surgeons congenital heart surgery database analysis. Ann Thorac Surg 106:785\u2013791. https:\/\/doi.org\/10.1016\/j.athoracsur.2018.04.049","journal-title":"Ann Thorac Surg"},{"key":"4168_CR3","doi-asserted-by":"publisher","first-page":"S455","DOI":"10.1016\/j.healun.2020.01.291","volume":"39","author":"AN Lambert","year":"2020","unstructured":"Lambert AN, Weiner J, Hall M et al (2020) Heart transplant outcomes in children with Ebstein\u2019s anomaly. J Heart Lung Transplant 39:S455\u2013S456. https:\/\/doi.org\/10.1016\/j.healun.2020.01.291","journal-title":"J Heart Lung Transplant"},{"key":"4168_CR4","doi-asserted-by":"publisher","first-page":"160","DOI":"10.1016\/j.athoracsur.2017.09.058","volume":"105","author":"KA Holst","year":"2018","unstructured":"Holst KA, Dearani JA, Said S et al (2018) Improving results of surgery for Ebstein anomaly: where are we after 235 cone repairs? Ann Thorac Surg 105:160\u2013168. https:\/\/doi.org\/10.1016\/j.athoracsur.2017.09.058","journal-title":"Ann Thorac Surg"},{"key":"4168_CR5","doi-asserted-by":"publisher","first-page":"1119","DOI":"10.1017\/S1047951114001747","volume":"25","author":"CJ Knott-Craig","year":"2015","unstructured":"Knott-Craig CJ, Kumar TKS, Arevalo AR, Joshi VM (2015) Surgical management of symptomatic neonates with Ebstein\u2019s anomaly: choice of operation. Cardiol Young 25:1119\u20131123. https:\/\/doi.org\/10.1017\/S1047951114001747","journal-title":"Cardiol Young"},{"key":"4168_CR6","doi-asserted-by":"publisher","first-page":"1082","DOI":"10.1016\/s0022-5223(19)36627-9","volume":"101","author":"VA Starnes","year":"1991","unstructured":"Starnes VA, Pitlick PT, Bernstein D et al (1991) Ebstein\u2019s anomaly appearing in the neonate. A new surgical approach. J Thorac Cardiovasc Surg 101:1082\u20131087. https:\/\/doi.org\/10.1016\/s0022-5223(19)36627-9","journal-title":"J Thorac Cardiovasc Surg"},{"key":"4168_CR7","doi-asserted-by":"publisher","first-page":"428","DOI":"10.1016\/j.xjtc.2021.02.051","volume":"10","author":"JD Cleveland","year":"2021","unstructured":"Cleveland JD, Starnes VA (2021) Simple, reproducible, and consistent physiology: the argument for single-ventricle repair in critically ill neonates with Ebstein anomaly. JTCVS Tech 10:428\u2013432. https:\/\/doi.org\/10.1016\/j.xjtc.2021.02.051","journal-title":"JTCVS Tech"},{"key":"4168_CR8","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.120.016684","author":"LR Freud","year":"2020","unstructured":"Freud LR, McElhinney DB, Kalish BT et al (2020) Risk factors for mortality and circulatory outcome among neonates prenatally diagnosed with ebstein anomaly or tricuspid valve dysplasia: a multicenter study. J Am Heart Assoc 9:e016684. https:\/\/doi.org\/10.1161\/JAHA.120.016684","journal-title":"J Am Heart Assoc"},{"key":"4168_CR9","doi-asserted-by":"publisher","first-page":"1257","DOI":"10.1161\/CIRCULATIONAHA.115.021241","volume":"134","author":"SR Kumar","year":"2016","unstructured":"Kumar SR, Kung G, Noh N et al (2016) Single-ventricle outcomes after neonatal palliation of severe Ebstein anomaly with modified starnes procedure. Circulation 134:1257\u20131264. https:\/\/doi.org\/10.1161\/CIRCULATIONAHA.115.021241","journal-title":"Circulation"},{"key":"4168_CR10","doi-asserted-by":"publisher","first-page":"38","DOI":"10.1053\/j.pcsu.2025.02.007","volume":"28","author":"L Da Silva","year":"2025","unstructured":"Da Silva L, Morell V, Medina MC, da Silva JP (2025) Staged treatment for critically ill neonates with Ebstein anomaly: cone repair after Starnes procedure. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu 28:38\u201345. https:\/\/doi.org\/10.1053\/j.pcsu.2025.02.007","journal-title":"Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu"},{"key":"4168_CR11","doi-asserted-by":"publisher","unstructured":"Ashraf SF, Da Silva JP, Castro-Medina M et al (2024) The cone repair allows right ventricle rehabilitation with excellent tricuspid valve function following the Starnes procedure. J Thorac Cardiovasc Surg 169:354-361. https:\/\/doi.org\/10.1016\/j.jtcvs.2024.08.024","DOI":"10.1016\/j.jtcvs.2024.08.024"},{"key":"4168_CR12","unstructured":"Cleveland J (2022) Suitability for biventricular repair following right ventricular exclusion for neonatal Ebstein anomaly. American Association of Thoracic Surgery (abstract), Boston ."},{"key":"4168_CR13","doi-asserted-by":"publisher","first-page":"1039","DOI":"10.1017\/S1047951121000081","volume":"31","author":"LM Lopes","year":"2021","unstructured":"Lopes LM, Bezerra RF, Da Silva JP, Da Silva LDF (2021) Critical Ebstein\u2019s anomaly with circular shunt: from successful fetal therapy with non-steroidal anti-inflammatory drugs to biventricular repair using da Silva cone technique. Cardiol Young 31:1039\u20131042. https:\/\/doi.org\/10.1017\/S1047951121000081","journal-title":"Cardiol Young"},{"key":"4168_CR14","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-023-03336-1","author":"CP Dobson","year":"2023","unstructured":"Dobson CP, Christopher AB, Castro-Medina M et al (2023) Using DaSilva cone operation to establish 1.5 or 2 ventricle circulation after initial single ventricle palliation with starnes procedure. Pediatr Cardiol. 46:107-115. https:\/\/doi.org\/10.1007\/s00246-023-03336-1","journal-title":"Pediatr Cardiol"},{"key":"4168_CR15","doi-asserted-by":"publisher","first-page":"311","DOI":"10.1016\/j.jtcvs.2024.04.018","volume":"168","author":"IE Konstantinov","year":"2024","unstructured":"Konstantinov IE, Chai P, Bacha E et al (2024) The American Association for Thoracic Surgery (AATS) 2024 expert consensus document: management of neonates and infants with Ebstein anomaly. J Thorac Cardiovasc Surg 168:311\u2013324. https:\/\/doi.org\/10.1016\/j.jtcvs.2024.04.018","journal-title":"J Thorac Cardiovasc Surg"},{"key":"4168_CR16","doi-asserted-by":"publisher","first-page":"325","DOI":"10.1016\/j.jtcvs.2023.10.057","volume":"168","author":"IE Konstantinov","year":"2024","unstructured":"Konstantinov IE, Zubritskiy A, Jaques CH et al (2024) Surgical management of neonatal Ebstein anomaly with a circular shunt. J Thorac Cardiovasc Surg 168:325\u2013328. https:\/\/doi.org\/10.1016\/j.jtcvs.2023.10.057","journal-title":"J Thorac Cardiovasc Surg"},{"key":"4168_CR17","doi-asserted-by":"publisher","first-page":"249","DOI":"10.1053\/j.optechstcvs.2023.12.005","volume":"29","author":"R Freire Bezerra","year":"2024","unstructured":"Freire Bezerra R, da Silva JP, da Fonseca Silva L (2024) Modified Starnes procedure with patch occlusion of the main pulmonary artery and other technical modifications to facilitate subsequent biventricular repair of Ebstein anomaly. Oper Tech Thorac Cardiovasc Surg 29:249\u2013258. https:\/\/doi.org\/10.1053\/j.optechstcvs.2023.12.005","journal-title":"Oper Tech Thorac Cardiovasc Surg"},{"key":"4168_CR18","doi-asserted-by":"publisher","DOI":"10.1510\/mmcts.2021.077","author":"SM Said","year":"2021","unstructured":"Said SM, Sainathan S (2021) Said_ MMCTS 2021. Multimed Man Cardiothorac Surg. https:\/\/doi.org\/10.1510\/mmcts.2021.077","journal-title":"Multimed Man Cardiothorac Surg"},{"key":"4168_CR19","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2023.09.063","author":"SN Nguyen","year":"2023","unstructured":"Nguyen SN, Vinogradsky AV, Barrett C et al (2023) Infant with Ebstein anomaly after the neonatal Starnes procedure: what is next? J Thorac Cardiovasc Surg. 168:243-247. https:\/\/doi.org\/10.1016\/j.jtcvs.2023.09.063","journal-title":"J Thorac Cardiovasc Surg"}],"container-title":["Pediatric Cardiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00246-026-04168-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00246-026-04168-5","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00246-026-04168-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T02:33:01Z","timestamp":1771036381000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00246-026-04168-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,14]]},"references-count":19,"alternative-id":["4168"],"URL":"https:\/\/doi.org\/10.1007\/s00246-026-04168-5","relation":{},"ISSN":["0172-0643","1432-1971"],"issn-type":[{"value":"0172-0643","type":"print"},{"value":"1432-1971","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,14]]},"assertion":[{"value":"16 November 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"17 January 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"14 February 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing Interests"}}]}}