{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T01:46:12Z","timestamp":1789263972900,"version":"build-2803163510"},"reference-count":27,"publisher":"Elsevier BV","issue":"3","license":[{"start":{"date-parts":[[2023,3,1]],"date-time":"2023-03-01T00:00:00Z","timestamp":1677628800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,3,1]],"date-time":"2023-03-01T00:00:00Z","timestamp":1677628800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"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":[[2023,3]]},"DOI":"10.1016\/j.athoracsur.2022.05.068","type":"journal-article","created":{"date-parts":[[2022,7,13]],"date-time":"2022-07-13T11:25:41Z","timestamp":1657711541000},"page":"576-582","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":16,"title":["Improved Outcomes of Reimplantation vs Remodeling in Marfan Syndrome: A Propensity-Matched Study"],"prefix":"10.1016","volume":"115","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4636-549X","authenticated-orcid":false,"given":"Malak","family":"Elbatarny","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tirone E.","family":"David","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolyn M.","family":"David","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer C.Y.","family":"Chung","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Myriam","family":"Lafreniere-Roula","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maral","family":"Ouzounian","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.athoracsur.2022.05.068_bib1","doi-asserted-by":"crossref","first-page":"1445","DOI":"10.1016\/j.jacc.2015.07.041","article-title":"Outcomes of aortic valve-sparing operations in Marfan syndrome","volume":"66","author":"David","year":"2015","journal-title":"J\u00a0Am Coll Cardiol"},{"key":"10.1016\/j.athoracsur.2022.05.068_bib2","first-page":"433","article-title":"Effect of native aortic valve sparing aortic root reconstruction surgery on short-and long-term prognosis in Marfan syndrome patients: a meta-analysis","volume":"42","author":"Hu","year":"2014","journal-title":"Zhonghua Xin Xue Guan Bing Za Zhi"},{"key":"10.1016\/j.athoracsur.2022.05.068_bib3","doi-asserted-by":"crossref","first-page":"570","DOI":"10.21037\/acs.2017.11.06","article-title":"Systematic review and meta-analysis of surgical outcomes in Marfan patients undergoing aortic root surgery by composite-valve graft or valve sparing root replacement","volume":"6","author":"Flynn","year":"2017","journal-title":"Ann Cardiothorac Surg"},{"key":"10.1016\/j.athoracsur.2022.05.068_bib4","doi-asserted-by":"crossref","first-page":"296","DOI":"10.1016\/j.athoracsur.2019.11.054","article-title":"Valve-sparing root replacement versus composite valve grafting in aortic root dilation: a meta-analysis","volume":"110","author":"Elbatarny","year":"2020","journal-title":"Ann Thorac Surg"},{"issue":"suppl","key":"10.1016\/j.athoracsur.2022.05.068_bib5","doi-asserted-by":"crossref","first-page":"S30","DOI":"10.1016\/j.jtcvs.2014.09.048","article-title":"Reexamining remodeling","volume":"149","author":"Sch\u00e4fers","year":"2015","journal-title":"J\u00a0Thorac Cardiovasc Surg"},{"key":"10.1016\/j.athoracsur.2022.05.068_bib6","doi-asserted-by":"crossref","first-page":"890","DOI":"10.1016\/j.jtcvs.2020.07.121","article-title":"A\u00a0progress report on reimplantation of the aortic valve","volume":"161","author":"David","year":"2021","journal-title":"J\u00a0Thorac Cardiovasc Surg"},{"key":"10.1016\/j.athoracsur.2022.05.068_bib7","doi-asserted-by":"crossref","first-page":"1366","DOI":"10.1001\/jamacardio.2020.3749","article-title":"Long-term results of differentiated anatomic reconstruction of bicuspid aortic valves","volume":"5","author":"Schneider","year":"2020","journal-title":"JAMA Cardiol"},{"key":"10.1016\/j.athoracsur.2022.05.068_bib8","doi-asserted-by":"crossref","first-page":"1069","DOI":"10.1093\/ejcts\/ezaa427","article-title":"Two decades of valve-sparing root reimplantation in tricuspid aortic valve: impact of aortic regurgitation and cusp repair","volume":"59","author":"Tamer","year":"2021","journal-title":"Eur J Cardiothoracic Surg"},{"key":"10.1016\/j.athoracsur.2022.05.068_bib9","doi-asserted-by":"crossref","first-page":"1838","DOI":"10.1016\/j.jacc.2016.07.767","article-title":"Valve-sparing root replacement compared with composite valve graft procedures in patients with aortic root dilation","volume":"68","author":"Ouzounian","year":"2016","journal-title":"J\u00a0Am Coll Cardiol"},{"key":"10.1016\/j.athoracsur.2022.05.068_bib10","doi-asserted-by":"crossref","first-page":"2153","DOI":"10.1161\/01.CIR.100.21.2153","article-title":"Opening and closing characteristics of the aortic valve after different types of valve-preserving surgery","volume":"100","author":"Leyh","year":"1999","journal-title":"Circulation"},{"key":"10.1016\/j.athoracsur.2022.05.068_bib11","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1016\/j.jtcvs.2006.02.034","article-title":"In\u00a0vitro comparison of aortic valve movement after valve-preserving aortic replacement","volume":"132","author":"Fries","year":"2006","journal-title":"J\u00a0Thorac Cardiovasc Surg"},{"key":"10.1016\/j.athoracsur.2022.05.068_bib12","doi-asserted-by":"crossref","first-page":"S752","DOI":"10.1016\/j.athoracsur.2006.10.093","article-title":"Remodeling or reimplantation for valve-sparing aortic root surgery?","volume":"83","author":"Erasmi","year":"2007","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2022.05.068_bib13","doi-asserted-by":"crossref","first-page":"314","DOI":"10.1016\/j.jtcvs.2008.08.006","article-title":"Factors associated with the development of aortic valve regurgitation over time after two different techniques of valve-sparing aortic root surgery","volume":"137","author":"Hanke","year":"2009","journal-title":"J\u00a0Thorac Cardiovasc Surg"},{"key":"10.1016\/j.athoracsur.2022.05.068_bib14","unstructured":"David T. The David X Procedure - \u201cStep-by-Step.\u201d Paper presented at: AATS Aortic Symposium, April 25-27, 2018, New York, NY."},{"key":"10.1016\/j.athoracsur.2022.05.068_bib15","doi-asserted-by":"crossref","first-page":"S14","DOI":"10.1016\/j.jtcvs.2010.07.041","article-title":"Aortic root aneurysm: principles of repair and long-term follow-up","volume":"140","author":"David","year":"2010","journal-title":"J\u00a0Thorac Cardiovasc Surg"},{"key":"10.1016\/j.athoracsur.2022.05.068_bib16","first-page":"105","article-title":"How to perform valve sparing reimplantation in a tricuspid aortic valve","volume":"2","author":"de Kerchove","year":"2013","journal-title":"Ann Cardiothorac Surg"},{"key":"10.1016\/j.athoracsur.2022.05.068_bib17","doi-asserted-by":"crossref","first-page":"1754","DOI":"10.1016\/j.jtcvs.2014.02.021","article-title":"Early and 1-year outcomes of aortic root surgery in patients with Marfan syndrome: a prospective, multicenter, comparative study","volume":"147","author":"Coselli","year":"2014","journal-title":"J\u00a0Thorac Cardiovasc Surg"},{"key":"10.1016\/j.athoracsur.2022.05.068_bib18","doi-asserted-by":"crossref","first-page":"955","DOI":"10.1136\/hrt.2010.210286","article-title":"Surgical management of aortic root disease in Marfan syndrome: a systematic review and meta-analysis","volume":"97","author":"Benedetto","year":"2011","journal-title":"Heart"},{"key":"10.1016\/j.athoracsur.2022.05.068_bib19","doi-asserted-by":"crossref","first-page":"1847","DOI":"10.1056\/NEJMoa1613792","article-title":"Mechanical or biologic prostheses for aortic-valve and mitral-valve replacement","volume":"377","author":"Goldstone","year":"2017","journal-title":"N\u00a0Engl J Med"},{"key":"10.1016\/j.athoracsur.2022.05.068_bib20","doi-asserted-by":"crossref","first-page":"747","DOI":"10.1016\/S0735-1097(99)00584-7","article-title":"Observed and relative survival after aortic valve replacement","volume":"35","author":"Kvidal","year":"2000","journal-title":"J\u00a0Am Coll Cardiol"},{"issue":"suppl 1","key":"10.1016\/j.athoracsur.2022.05.068_bib21","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1007\/s12055-019-00798-y","article-title":"Aortic root remodeling in bicuspid and tricuspid aortic valves-long-term results","volume":"36","author":"Miyahara","year":"2020","journal-title":"Indian J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.athoracsur.2022.05.068_bib22","doi-asserted-by":"crossref","first-page":"1033","DOI":"10.1016\/j.jtcvs.2016.12.031","article-title":"Remodeling root repair with an external aortic ring annuloplasty","volume":"153","author":"Lansac","year":"2017","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.athoracsur.2022.05.068_bib23","doi-asserted-by":"crossref","first-page":"697","DOI":"10.21037\/acs.2017.11.01","article-title":"Valve-sparing aortic root replacement in patients with Marfan syndrome-the Homburg experience","volume":"6","author":"Schneider","year":"2017","journal-title":"Ann Cardiothorac Surg"},{"key":"10.1016\/j.athoracsur.2022.05.068_bib24","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1111\/jocs.13709","article-title":"Pseudoaneurysm formation after valve sparing root replacement in children with Loeys-Dietz syndrome","volume":"33","author":"Liu","year":"2018","journal-title":"J\u00a0Card Surg"},{"key":"10.1016\/j.athoracsur.2022.05.068_bib25","doi-asserted-by":"crossref","first-page":"415","DOI":"10.1510\/icvts.2010.255596","article-title":"Valve-sparing aortic root replacement in children: intermediate-term results","volume":"12","author":"Patel","year":"2011","journal-title":"Interact Cardiovasc Thorac Surg"},{"key":"10.1016\/j.athoracsur.2022.05.068_bib26","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1016\/j.xjtc.2020.12.044","article-title":"Aortic annuloplasty: subcommissural, intra-annular suture techniques, external and internal rings","volume":"7","author":"Federspiel","year":"2021","journal-title":"JTCVS Tech"},{"key":"10.1016\/j.athoracsur.2022.05.068_bib27","doi-asserted-by":"crossref","first-page":"783","DOI":"10.1016\/j.athoracsur.2015.07.068","article-title":"Suture annuloplasty in aortic valve repair","volume":"101","author":"Schneider","year":"2016","journal-title":"Ann Thorac Surg"}],"container-title":["The Annals of Thoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0003497522009420?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0003497522009420?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,9,13]],"date-time":"2025-09-13T04:16:37Z","timestamp":1757736997000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0003497522009420"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3]]},"references-count":27,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2023,3]]}},"alternative-id":["S0003497522009420"],"URL":"https:\/\/doi.org\/10.1016\/j.athoracsur.2022.05.068","relation":{},"ISSN":["0003-4975"],"issn-type":[{"value":"0003-4975","type":"print"}],"subject":[],"published":{"date-parts":[[2023,3]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Improved Outcomes of Reimplantation vs Remodeling in Marfan Syndrome: A Propensity-Matched Study","name":"articletitle","label":"Article Title"},{"value":"The Annals of Thoracic Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.athoracsur.2022.05.068","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2023 by The Society of Thoracic Surgeons","name":"copyright","label":"Copyright"}]}}