{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T12:22:38Z","timestamp":1780057358638,"version":"3.54.0"},"reference-count":18,"publisher":"Elsevier BV","issue":"3","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"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":[[2026,3]]},"DOI":"10.1016\/j.athoracsur.2025.07.042","type":"journal-article","created":{"date-parts":[[2025,8,21]],"date-time":"2025-08-21T20:17:26Z","timestamp":1755807446000},"page":"597-604","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":4,"title":["Impact of Root Venting on Brain Injury in Minithoracotomy Aortic Valve Replacement: Prospective Evaluation With Preoperative and Postoperative Brain MRI in 252 Patients"],"prefix":"10.1016","volume":"121","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4028-324X","authenticated-orcid":false,"given":"Shuhei","family":"Nishijima","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshitsugu","family":"Nakamura","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuka","family":"Higuma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kusumi","family":"Niitsuma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuto","family":"Yasumoto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miho","family":"Kuroda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satoshi","family":"Okugi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yujiro","family":"Hayashi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taisuke","family":"Nakayama","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yujiro","family":"Ito","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.athoracsur.2025.07.042_bib1","doi-asserted-by":"crossref","first-page":"791","DOI":"10.1016\/j.jacc.2012.02.079","article-title":"Silent brain injury after cardiac surgery: a review: cognitive dysfunction and magnetic resonance imaging diffusion-weighted imaging findings","volume":"60","author":"Sun","year":"2012","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.athoracsur.2025.07.042_bib2","doi-asserted-by":"crossref","first-page":"548","DOI":"10.1016\/j.amjcard.2018.04.056","article-title":"Comparison of frequency of silent cerebral infarction after coronary angiography and stenting with transradial versus transfemoral approaches","volume":"122","author":"G\u00f6ks\u00fcl\u00fck","year":"2018","journal-title":"Am J Cardiol"},{"key":"10.1016\/j.athoracsur.2025.07.042_bib3","doi-asserted-by":"crossref","DOI":"10.1093\/europace\/euaa320","article-title":"Impact of access route to the left ventricle on asymptomatic periprocedural brain injury: the results of a randomized trial in patients undergoing catheter ablation of ventricular tachycardia","volume":"23","author":"Bori\u0161incov\u00e1","year":"2021","journal-title":"Europace"},{"key":"10.1016\/j.athoracsur.2025.07.042_bib4","doi-asserted-by":"crossref","first-page":"823","DOI":"10.1007\/s11748-019-01168-6","article-title":"\u2018De-airing\u2019 in open heart surgery: report from the CVSAP nation-wide survey and literature review","volume":"67","author":"Orihashi","year":"2019","journal-title":"Gen Thorac Cardiovasc Surg"},{"key":"10.1016\/j.athoracsur.2025.07.042_bib5","doi-asserted-by":"crossref","first-page":"1759","DOI":"10.1016\/j.jtcvs.2003.09.048","article-title":"Solid and gaseous cerebral microembolization during off-pump, on-pump, and open cardiac surgery procedures","volume":"127","author":"Abu-Omar","year":"2004","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.athoracsur.2025.07.042_bib6","doi-asserted-by":"crossref","first-page":"1128","DOI":"10.1016\/j.jtcvs.2010.07.013","article-title":"Comparison of the effectiveness and safety of a new de-airing technique with a standardized carbon dioxide insufflation technique in open left heart surgery: a randomized clinical trial","volume":"141","author":"Al-Rashidi","year":"2011","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.athoracsur.2025.07.042_bib7","doi-asserted-by":"crossref","first-page":"1927","DOI":"10.1111\/jocs.14866","article-title":"Silent brain infarction after minimally invasive cardiac surgery with retrograde perfusion","volume":"35","author":"Nishijima","year":"2020","journal-title":"J Card Surg"},{"key":"10.1016\/j.athoracsur.2025.07.042_bib8","doi-asserted-by":"crossref","first-page":"1200","DOI":"10.1093\/ejcts\/ezaa469","article-title":"Perfusion strategy using axillary or femoral cannulation for minimally invasive cardiac surgery: experience in 270 patients with computed tomography-based criteria","volume":"59","author":"Nakamura","year":"2021","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.1016\/j.athoracsur.2025.07.042_bib9","doi-asserted-by":"crossref","first-page":"1067","DOI":"10.1016\/S1010-7940(97)01219-0","article-title":"Mitral valve replacement via a right mini-thoracotomy in the dog: use of carbon dioxide to reduce intracardiac air","volume":"11","author":"Peters","year":"1997","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.1016\/j.athoracsur.2025.07.042_bib10","doi-asserted-by":"crossref","first-page":"1499","DOI":"10.1111\/jocs.15372","article-title":"Toward stroke-free coronary surgery: the role of the anaortic off-pump bypass technique","volume":"36","author":"Ramponi","year":"2021","journal-title":"J Card Surg"},{"key":"10.1016\/j.athoracsur.2025.07.042_bib11","doi-asserted-by":"crossref","first-page":"160","DOI":"10.3390\/medicina59010160","article-title":"Safety and efficacy of the transaxillary access for minimally invasive aortic valve surgery","volume":"59","author":"Wilbring","year":"2023","journal-title":"Medicina (Kaunas)"},{"key":"10.1016\/j.athoracsur.2025.07.042_bib12","doi-asserted-by":"crossref","first-page":"954","DOI":"10.1007\/s11748-022-01832-4","article-title":"Single direct right axillary artery cannulation using a modified Seldinger technique in minimally invasive cardiac surgery","volume":"70","author":"Nishijima","year":"2022","journal-title":"Gen Thorac Cardiovasc Surg"},{"key":"10.1016\/j.athoracsur.2025.07.042_bib13","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1016\/S0003-4975(10)64120-3","article-title":"Needle suction of the aorta for left heart decompression during aortic cross-clamping","volume":"23","author":"Harlan","year":"1977","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2025.07.042_bib14","doi-asserted-by":"crossref","first-page":"1346","DOI":"10.1016\/j.athoracsur.2011.04.055","article-title":"Minimally invasive valve surgery with antegrade perfusion strategy is not associated with increased neurologic complications","volume":"92","author":"Grossi","year":"2011","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2025.07.042_bib15","doi-asserted-by":"crossref","first-page":"772","DOI":"10.1016\/j.jtcvs.2019.02.112","article-title":"Axillary artery cannulation reduces early embolic stroke and mortality after open arch repair with circulatory arrest","volume":"159","author":"Kim","year":"2020","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.athoracsur.2025.07.042_bib16","doi-asserted-by":"crossref","first-page":"1427","DOI":"10.1161\/STROKEAHA.107.502989","article-title":"Cerebral ischemic lesions on diffusion-weighted imaging are associated with neurocognitive decline after cardiac surgery","volume":"39","author":"Barber","year":"2008","journal-title":"Stroke"},{"key":"10.1016\/j.athoracsur.2025.07.042_bib17","doi-asserted-by":"crossref","first-page":"1215","DOI":"10.1056\/NEJMoa022066","article-title":"Silent brain infarcts and the risk of dementia and cognitive decline","volume":"348","author":"Vermeer","year":"2003","journal-title":"N Engl J Med"},{"key":"10.1016\/j.athoracsur.2025.07.042_bib18","doi-asserted-by":"crossref","first-page":"1857","DOI":"10.1056\/NEJM199612193352501","article-title":"Adverse cerebral outcomes after coronary bypass surgery. Multicenter Study of Perioperative Ischemia Research Group and the Ischemia Research and Education Foundation investigators","volume":"335","author":"Roach","year":"1996","journal-title":"N Engl J Med"}],"container-title":["The Annals of Thoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0003497525007635?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0003497525007635?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T16:02:01Z","timestamp":1779984121000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0003497525007635"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":18,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["S0003497525007635"],"URL":"https:\/\/doi.org\/10.1016\/j.athoracsur.2025.07.042","relation":{},"ISSN":["0003-4975"],"issn-type":[{"value":"0003-4975","type":"print"}],"subject":[],"published":{"date-parts":[[2026,3]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Impact of Root Venting on Brain Injury in Minithoracotomy Aortic Valve Replacement: Prospective Evaluation With Preoperative and Postoperative Brain MRI in 252 Patients","name":"articletitle","label":"Article Title"},{"value":"The Annals of Thoracic Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.athoracsur.2025.07.042","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 by The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}