{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T09:26:18Z","timestamp":1774949178654,"version":"3.50.1"},"reference-count":14,"publisher":"Elsevier BV","issue":"4","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"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":[[2026,4]]},"DOI":"10.1016\/j.athoracsur.2025.12.042","type":"journal-article","created":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T15:52:27Z","timestamp":1769010747000},"page":"920-929","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"title":["Transaortic and Right Atrial Approach for Pediatric Tunnel-Type Left Ventricular Outflow Tract Obstruction: An Alternative to Modified Konno"],"prefix":"10.1016","volume":"121","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4680-785X","authenticated-orcid":false,"given":"Mustafa Kemal","family":"Av\u015far","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasin","family":"G\u00fczel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ibrahim \u00d6zg\u00fcr","family":"\u00d6nsel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bar\u0131\u015f","family":"K\u0131rat","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ilker Kemal","family":"Y\u00fccel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cenap","family":"Zeybek","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deniz","family":"Yorganc\u0131lar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.athoracsur.2025.12.042_bib1","doi-asserted-by":"crossref","first-page":"588","DOI":"10.1093\/icvts\/ivab121","article-title":"Paediatric subaortic stenosis: long-term outcome and risk factors for reoperation","volume":"33","author":"De Wolf","year":"2021","journal-title":"Interact Cardiovasc Thorac Surg"},{"key":"10.1016\/j.athoracsur.2025.12.042_bib2","doi-asserted-by":"crossref","first-page":"980","DOI":"10.1017\/S1047951121004686","article-title":"Long-term follow-up of subvalvular aortic stenosis in children: a single-centre experience","volume":"32","author":"Ramo\u011flu","year":"2022","journal-title":"Cardiol Young"},{"key":"10.1016\/j.athoracsur.2025.12.042_bib3","doi-asserted-by":"crossref","DOI":"10.21470\/1678-9741-2024-0002","article-title":"The Konno-Rastan procedure in the current era: still a feasible option?","volume":"40","author":"Alpat","year":"2025","journal-title":"Braz J Cardiovasc Surg"},{"key":"10.1016\/j.athoracsur.2025.12.042_bib4","doi-asserted-by":"crossref","first-page":"1890","DOI":"10.1016\/S0735-1097(02)01886-7","article-title":"The incidence of congenital heart disease","volume":"39","author":"Hoffman","year":"2002","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.athoracsur.2025.12.042_bib5","doi-asserted-by":"crossref","first-page":"1368","DOI":"10.1016\/S0003-4975(97)01421-5","article-title":"Modified Konno-Rastan procedure for subaortic stenosis: indications, operative techniques, and results","volume":"65","author":"Roughneen","year":"1998","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2025.12.042_bib6","doi-asserted-by":"crossref","first-page":"614","DOI":"10.1007\/s00246-020-02522-9","article-title":"Management of complex left ventricular outflow tract obstruction: a comparison of Konno and modified Konno techniques","volume":"42","author":"Haider","year":"2021","journal-title":"Pediatr Cardiol"},{"key":"10.1016\/j.athoracsur.2025.12.042_bib7","first-page":"ivad151","article-title":"Long-term outcomes of the classic Konno-Rastan procedure in paediatric and adult patients: impact of aortic annulus size on patient outcomes","volume":"37","author":"Amirghofran","year":"2023","journal-title":"Interdiscip Cardiovasc Thorac Surg"},{"key":"10.1016\/j.athoracsur.2025.12.042_bib8","first-page":"717","article-title":"Custodiol for myocardial protection and preservation: a systematic review","volume":"2","author":"Edelman","year":"2013","journal-title":"Ann Cardiothorac Surg"},{"key":"10.1016\/j.athoracsur.2025.12.042_bib9","series-title":"Wilcox\u2019s Surgical Anatomy of the Heart","author":"Anderson","year":"2013"},{"key":"10.1016\/j.athoracsur.2025.12.042_bib10","doi-asserted-by":"crossref","first-page":"2285","DOI":"10.1016\/j.jtcvs.2018.06.040","article-title":"Long-term results of the modified Konno procedure in high-risk children with obstructive hypertrophic cardiomyopathy","volume":"156","author":"Laredo","year":"2018","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.athoracsur.2025.12.042_bib11","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.jacc.2005.02.083","article-title":"The adult with congenital heart disease: arrhythmias and electrophysiology","volume":"46","author":"Warnes","year":"2005","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.athoracsur.2025.12.042_bib12","doi-asserted-by":"crossref","first-page":"973","DOI":"10.1016\/j.athoracsur.2023.07.002","article-title":"Late outcomes of Konno-Rastan and modified Konno for left ventricular outflow tract obstruction","volume":"117","author":"Griffeth","year":"2024","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2025.12.042_bib13","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1016\/j.xjtc.2021.11.017","article-title":"Intraoperative conduction mapping in complex congenital heart surgery","volume":"12","author":"Feins","year":"2022","journal-title":"JTCVS Tech"},{"key":"10.1016\/j.athoracsur.2025.12.042_bib14","first-page":"1626","article-title":"Long-term outcomes of polytetrafluoroethylene patches in pediatric cardiac surgery: a 20-year experience","volume":"83","author":"Brown","year":"2007","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:S000349752600024X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S000349752600024X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T08:31:00Z","timestamp":1774945860000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S000349752600024X"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4]]},"references-count":14,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["S000349752600024X"],"URL":"https:\/\/doi.org\/10.1016\/j.athoracsur.2025.12.042","relation":{},"ISSN":["0003-4975"],"issn-type":[{"value":"0003-4975","type":"print"}],"subject":[],"published":{"date-parts":[[2026,4]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Transaortic and Right Atrial Approach for Pediatric Tunnel-Type Left Ventricular Outflow Tract Obstruction: An Alternative to Modified Konno","name":"articletitle","label":"Article Title"},{"value":"The Annals of Thoracic Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.athoracsur.2025.12.042","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Published by Elsevier Inc. on behalf of The Society of Thoracic Surgeons","name":"copyright","label":"Copyright"}]}}