{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T16:40:54Z","timestamp":1786984854144,"version":"build-2736575974"},"reference-count":9,"publisher":"Elsevier BV","issue":"4","license":[{"start":{"date-parts":[[2017,10,1]],"date-time":"2017-10-01T00:00:00Z","timestamp":1506816000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2017,10,1]],"date-time":"2017-10-01T00:00:00Z","timestamp":1506816000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/100009663","name":"University Health Network","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100009663","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100003579","name":"University of Toronto","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100003579","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["annalsthoracicsurgery.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Annals of Thoracic Surgery"],"published-print":{"date-parts":[[2017,10]]},"DOI":"10.1016\/j.athoracsur.2017.05.024","type":"journal-article","created":{"date-parts":[[2017,8,16]],"date-time":"2017-08-16T16:00:20Z","timestamp":1502899220000},"page":"1179-1185","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":27,"title":["Symptoms Are More Useful Than Echocardiography in Patient Selection for\u00a0Pulmonary Endarterectomy"],"prefix":"10.1016","volume":"104","author":[{"given":"Laura","family":"Donahoe","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel","family":"Vanderlaan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Thenganatt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"McRae","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anastasia","family":"Bykova","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jakov","family":"Moric","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Granton","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc","family":"de Perrot","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.athoracsur.2017.05.024_bib1","doi-asserted-by":"crossref","first-page":"702","DOI":"10.1016\/j.jtcvs.2010.11.024","article-title":"Surgical management and outcome of patients with chronic thromboembolic pulmonary hypertension: results from an international prospective registry","volume":"141","author":"Mayer","year":"2011","journal-title":"J\u00a0Thorac Cardiovasc Surg"},{"key":"10.1016\/j.athoracsur.2017.05.024_bib2","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1016\/j.athoracsur.2012.04.004","article-title":"Pulmonary endarterectomy: recent changes in a single institution's experience of more than 2,700 patients","volume":"94","author":"Madani","year":"2012","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2017.05.024_bib3","doi-asserted-by":"crossref","first-page":"1635","DOI":"10.1183\/09031936.00050114","article-title":"Outcome of pulmonary endarterectomy in symptomatic chronic thromboembolic disease","volume":"44","author":"Taboada","year":"2014","journal-title":"Eur Respir J"},{"key":"10.1016\/j.athoracsur.2017.05.024_bib4","doi-asserted-by":"crossref","first-page":"763","DOI":"10.1016\/j.jtcvs.2016.05.058","article-title":"Hemodynamic and ventilatory responses during exercise in chronic thromboembolic disease","volume":"152","author":"van Kan","year":"2016","journal-title":"J\u00a0Thorac Cardiovasc Surg"},{"key":"10.1016\/j.athoracsur.2017.05.024_bib5","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1086\/674878","article-title":"Cardiopulmonary exercise testing suggests a beneficial response to pulmonary endarterectomy in a patient with chronic thromboembolic obstruction and normal preoperative pulmonary hemodynamics","volume":"4","author":"McCabe","year":"2014","journal-title":"Pulm Circ"},{"key":"10.1016\/j.athoracsur.2017.05.024_bib6","first-page":"301","article-title":"Diagnostic evaluation and management of chronic thromboembolic pulmonary hypertension: a clinical practice guideline","volume":"17","author":"Mehta","year":"2010","journal-title":"Can Respir J"},{"key":"10.1016\/j.athoracsur.2017.05.024_bib7","doi-asserted-by":"crossref","first-page":"e0126985","DOI":"10.1371\/journal.pone.0126985","article-title":"Diagnostic accuracy of computed tomography for chronic thromboembolic pulmonary hypertension: a systematic review and meta-analysis","volume":"10","author":"Dong","year":"2015","journal-title":"PLoS One"},{"key":"10.1016\/j.athoracsur.2017.05.024_bib8","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1186\/s12890-016-0180-x","article-title":"Case report: subjective loss of performance after pulmonary embolism in an athlete \u2013 beyond normal values","volume":"16","author":"Dumitrescu","year":"2016","journal-title":"BMC Pulm Med"},{"key":"10.1016\/j.athoracsur.2017.05.024_bib9","doi-asserted-by":"crossref","first-page":"1401","DOI":"10.1183\/09031936.00177514","article-title":"Chronic thromboembolic pulmonary hypertension: do we need a new definition?","volume":"44","author":"de Perrot","year":"2014","journal-title":"Eur Respir J"}],"container-title":["The Annals of Thoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0003497517306999?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0003497517306999?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,9,13]],"date-time":"2025-09-13T03:45:33Z","timestamp":1757735133000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0003497517306999"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,10]]},"references-count":9,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2017,10]]}},"alternative-id":["S0003497517306999"],"URL":"https:\/\/doi.org\/10.1016\/j.athoracsur.2017.05.024","relation":{},"ISSN":["0003-4975"],"issn-type":[{"value":"0003-4975","type":"print"}],"subject":[],"published":{"date-parts":[[2017,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Symptoms Are More Useful Than Echocardiography in Patient Selection for\u00a0Pulmonary Endarterectomy","name":"articletitle","label":"Article Title"},{"value":"The Annals of Thoracic Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.athoracsur.2017.05.024","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2017 by The Society of Thoracic Surgeons Published by Elsevier","name":"copyright","label":"Copyright"}]}}