{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T21:27:51Z","timestamp":1760909271980,"version":"3.37.3"},"reference-count":24,"publisher":"Elsevier BV","issue":"3","license":[{"start":{"date-parts":[[2022,9,1]],"date-time":"2022-09-01T00:00:00Z","timestamp":1661990400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,9,1]],"date-time":"2022-09-01T00:00:00Z","timestamp":1661990400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.fr","clinicalkey.jp","clinicalkey.com.au","clinicalkey.es","clinicalkey.com","annalsthoracicsurgery.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Annals of Thoracic Surgery"],"published-print":{"date-parts":[[2022,9]]},"DOI":"10.1016\/j.athoracsur.2021.05.080","type":"journal-article","created":{"date-parts":[[2021,6,27]],"date-time":"2021-06-27T08:51:20Z","timestamp":1624783880000},"page":"873-880","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":7,"title":["Outflow Ventricular Septal Defect With Aortic Regurgitation: Optimal Timing of Surgery?"],"prefix":"10.1016","volume":"114","author":[{"given":"Priya","family":"Giridhara","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amitabh","family":"Poonia","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deepa","family":"Sasikumar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kavassery M.","family":"Krishnamoorthy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sivasankaran","family":"Sivasubramonian","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ajitkumar","family":"Valaparambil","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.athoracsur.2021.05.080_bib1","series-title":"Moss and Adams\u2019 Heart Disease in Infants, Children, and Adolescent","first-page":"784","author":"Allen","year":"2016"},{"key":"10.1016\/j.athoracsur.2021.05.080_bib2","doi-asserted-by":"crossref","first-page":"604","DOI":"10.1016\/0002-8703(68)90321-9","article-title":"Anatomic types of ventricular septal defect with aortic insufficiency. Diagnostic and surgical consideration","volume":"75","author":"Van Praagh","year":"1968","journal-title":"Am Heart J"},{"key":"10.1016\/j.athoracsur.2021.05.080_bib3","doi-asserted-by":"crossref","first-page":"1285","DOI":"10.1016\/S0002-9149(97)00105-7","article-title":"Aortic valve prolapse and aortic regurgitation associated with subpulmonic ventricular septal defect","volume":"79","author":"Tohyama","year":"1997","journal-title":"Am J Cardiol"},{"key":"10.1016\/j.athoracsur.2021.05.080_bib4","doi-asserted-by":"crossref","first-page":"1366","DOI":"10.1016\/j.athoracsur.2004.10.012","article-title":"Aortic valve prolapse associated with outlet type ventricular defect","volume":"79","author":"Chiu","year":"2005","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2021.05.080_bib5","doi-asserted-by":"crossref","first-page":"736","DOI":"10.1016\/S0003-4975(98)01256-9","article-title":"Outcome of surgical closure of doubly committed subarterial ventricular septal defect","volume":"67","author":"Sim","year":"1999","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2021.05.080_bib6","doi-asserted-by":"crossref","first-page":"1445","DOI":"10.1016\/S0002-9149(99)00594-9","article-title":"Influence of surgery on aortic valve prolapse and aortic regurgitation in doubly committed subarterial ventricular septal defect","volume":"84","author":"Sim","year":"1999","journal-title":"Am J Cardiol"},{"key":"10.1016\/j.athoracsur.2021.05.080_bib7","doi-asserted-by":"crossref","first-page":"512","DOI":"10.1055\/s-2006-924326","article-title":"Timing of repair in ventricular septal defect with aortic insufficiency","volume":"54","author":"Kostolny","year":"2006","journal-title":"Thorac Cardiovasc Surg"},{"key":"10.1016\/j.athoracsur.2021.05.080_bib8","doi-asserted-by":"crossref","first-page":"890","DOI":"10.1016\/0002-9149(87)91042-3","article-title":"Long-term follow-up after aortic valvuloplasty and defect closure in ventricular septal defect with aortic regurgitation","volume":"60","author":"Maurice","year":"1987","journal-title":"Am J Cardiol"},{"key":"10.1016\/j.athoracsur.2021.05.080_bib9","doi-asserted-by":"crossref","first-page":"1696","DOI":"10.1007\/s00246-019-02206-z","article-title":"Progression of aortic regurgitation after subarterial ventricular septal defect repair: optimal timing of the operation","volume":"40","author":"Jung","year":"2019","journal-title":"Pediatr Cardiol"},{"key":"10.1016\/j.athoracsur.2021.05.080_bib10","doi-asserted-by":"crossref","first-page":"1350","DOI":"10.1016\/S0003-4975(99)00970-4","article-title":"Risk factors for failure of aortic valvuloplasty in aortic insufficiency with ventricular septal defect","volume":"68","author":"Elgamal","year":"1999","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2021.05.080_bib11","doi-asserted-by":"crossref","first-page":"336","DOI":"10.1016\/j.ahj.2006.10.025","article-title":"Progression of aortic regurgitation after surgical repair of outlet-type ventricular septal defects","volume":"153","author":"Chiu","year":"2007","journal-title":"Am Heart J"},{"key":"10.1016\/j.athoracsur.2021.05.080_bib12","doi-asserted-by":"crossref","first-page":"1588","DOI":"10.1016\/j.amjcard.2007.01.034","article-title":"Frequency of development of aortic cuspal prolapse and aortic regurgitation in patients with subaortic ventricular septal defect diagnosed at <1 year of age","volume":"99","author":"Saleeb","year":"2007","journal-title":"Am J Cardiol"},{"key":"10.1016\/j.athoracsur.2021.05.080_bib13","doi-asserted-by":"crossref","first-page":"540","DOI":"10.1016\/S0002-9149(00)01009-2","article-title":"Evolution of aortic regurgitation following simple patch closure of doubly committed subarterial ventricular septal defect","volume":"86","author":"Tomita","year":"2000","journal-title":"Am J Cardiol"},{"key":"10.1016\/j.athoracsur.2021.05.080_bib14","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1536\/ihj.25.325","article-title":"The development of real-time two-dimensional Doppler echocardiography and its clinical significance in acquired valvular diseases. With special reference to the evaluation of valvular regurgitation","volume":"25","author":"Omoto","year":"1984","journal-title":"Jpn Heart J"},{"key":"10.1016\/j.athoracsur.2021.05.080_bib15","doi-asserted-by":"crossref","first-page":"394","DOI":"10.1016\/S0022-5223(19)39797-1","article-title":"Repair of ventricular septal defect with aortic insufficiency","volume":"66","author":"Trusler","year":"1973","journal-title":"J\u00a0Thorac Cardiovasc Surg"},{"key":"10.1016\/j.athoracsur.2021.05.080_bib16","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1007\/s00246-002-1423-6","article-title":"Aortic valve prolapse and aortic regurgitation in patients with ventricular septal defect","volume":"24","author":"Eroglu","year":"2003","journal-title":"Pediatr Cardiol"},{"key":"10.1016\/j.athoracsur.2021.05.080_bib17","first-page":"117","article-title":"Consensus on timing of intervention for common congenital heart diseases","volume":"45","author":"Saxena","year":"2008","journal-title":"Indian Pediatr"},{"key":"10.1016\/j.athoracsur.2021.05.080_bib18","doi-asserted-by":"crossref","first-page":"1479","DOI":"10.1136\/heartjnl-2015-309005","article-title":"Progression of aortic regurgitation after subpulmonic infundibular ventricular septal defect repair","volume":"102","author":"Amano","year":"2016","journal-title":"Heart"},{"key":"10.1016\/j.athoracsur.2021.05.080_bib19","doi-asserted-by":"crossref","first-page":"769","DOI":"10.1016\/S0022-5223(19)35186-4","article-title":"Long-term results of aortic valvuloplasty for aortic regurgitation associated with ventricular septal defect","volume":"96","author":"Okita","year":"1988","journal-title":"J\u00a0Thorac Cardiovasc Surg"},{"key":"10.1016\/j.athoracsur.2021.05.080_bib20","doi-asserted-by":"crossref","first-page":"290","DOI":"10.1016\/j.jcin.2009.12.007","article-title":"Indications and outcomes of surgical closure of ventricular septal defect in adults","volume":"3","author":"Mongeon","year":"2010","journal-title":"J\u00a0Am Coll Cardiol Interv"},{"key":"10.1016\/j.athoracsur.2021.05.080_bib21","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1016\/S0022-5223(19)39352-3","article-title":"Ventricular septal defect with associated aortic valve insufficiency","volume":"82","author":"Karpawich","year":"1981","journal-title":"J\u00a0Thorac Cardiovasc Surg"},{"key":"10.1016\/j.athoracsur.2021.05.080_bib22","first-page":"805","article-title":"Surgical management of perimembranous or midconal ventricular septal defect associated with aortic regurgitation or prolapse of aortic cusp [Japanese]","volume":"34","author":"Fujiwara","year":"1986","journal-title":"J\u00a0Jpn Assoc Thorac Surg"},{"key":"10.1016\/j.athoracsur.2021.05.080_bib23","doi-asserted-by":"crossref","first-page":"622","DOI":"10.1016\/S0003-4975(01)03393-8","article-title":"Impact of preoperative aortic cusp prolapse on long-term outcome after surgical closure of subarterial ventricular septal defect","volume":"73","author":"Cheung","year":"2002","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2021.05.080_bib24","doi-asserted-by":"crossref","first-page":"34","DOI":"10.3390\/children6020034","article-title":"Status of pediatric cardiac care in developing countries","volume":"6","author":"Saxena","year":"2019","journal-title":"Children"}],"container-title":["The Annals of Thoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0003497521010729?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0003497521010729?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,2,17]],"date-time":"2025-02-17T17:47:17Z","timestamp":1739814437000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0003497521010729"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,9]]},"references-count":24,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2022,9]]}},"alternative-id":["S0003497521010729"],"URL":"https:\/\/doi.org\/10.1016\/j.athoracsur.2021.05.080","relation":{},"ISSN":["0003-4975"],"issn-type":[{"type":"print","value":"0003-4975"}],"subject":[],"published":{"date-parts":[[2022,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Outflow Ventricular Septal Defect With Aortic Regurgitation: Optimal Timing of Surgery?","name":"articletitle","label":"Article Title"},{"value":"The Annals of Thoracic Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.athoracsur.2021.05.080","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2022 by The Society of Thoracic Surgeons","name":"copyright","label":"Copyright"}]}}