{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,14]],"date-time":"2026-11-14T05:21:45Z","timestamp":1794633705861,"version":"4.9.1"},"reference-count":20,"publisher":"Elsevier BV","issue":"3","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"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":[[2026,9]]},"DOI":"10.1016\/j.athoracsur.2026.03.054","type":"journal-article","created":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T16:48:26Z","timestamp":1775753306000},"page":"590-598","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"title":["Impact of Severe Uncorrected Pectus Excavatum on Outcomes After Aortic Surgery in Marfan Syndrome"],"prefix":"10.1016","volume":"122","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6005-640X","authenticated-orcid":false,"given":"Ilkun","family":"Park","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jong Ho","family":"Cho","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kiick","family":"Sung","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yang Hyun","family":"Cho","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Su Ryeun","family":"Chung","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wook Sung","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taek Kyu","family":"Park","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seung-Hyuk","family":"Choi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hye Yun","family":"Park","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.athoracsur.2026.03.054_bib1","doi-asserted-by":"crossref","first-page":"1169","DOI":"10.1016\/S0022-3468(88)80335-X","article-title":"Surgical management of children and young adults with Marfan syndrome and pectus excavatum","volume":"23","author":"Scherer","year":"1988","journal-title":"J Pediatr Surg"},{"key":"10.1016\/j.athoracsur.2026.03.054_bib2","doi-asserted-by":"crossref","first-page":"305","DOI":"10.2459\/JCM.0000000000000394","article-title":"Aortic surgery in Marfan patients with severe pectus excavatum","volume":"18","author":"Raffa","year":"2017","journal-title":"J Cardiovasc Med (Hagerstown)"},{"key":"10.1016\/j.athoracsur.2026.03.054_bib3","doi-asserted-by":"crossref","first-page":"e69","DOI":"10.1016\/j.jtcvs.2015.12.016","article-title":"What are the indications for pectus excavatum repair at the time of congenital cardiac surgery: separating theory from reality","volume":"151","author":"Krupnick","year":"2016","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.athoracsur.2026.03.054_bib4","doi-asserted-by":"crossref","first-page":"1312","DOI":"10.1016\/j.athoracsur.2023.01.040","article-title":"Pectus excavatum in cardiac surgery patients","volume":"115","author":"Stephens","year":"2023","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2026.03.054_bib5","doi-asserted-by":"crossref","first-page":"1267","DOI":"10.1016\/S0022-3468(97)90299-2","article-title":"The 're-do' chest wall deformity correction","volume":"32","author":"Ellis","year":"1997","journal-title":"J Pediatr Surg"},{"key":"10.1016\/j.athoracsur.2026.03.054_bib6","doi-asserted-by":"crossref","first-page":"908","DOI":"10.1093\/icvts\/ivw263","article-title":"A 20-year review of pectus surgery: an analysis of factors predictive of recurrence and outcomes","volume":"23","author":"Tikka","year":"2016","journal-title":"Interact Cardiovasc Thorac Surg"},{"key":"10.1016\/j.athoracsur.2026.03.054_bib7","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1016\/j.ijscr.2016.01.035","article-title":"Descending aortic replacement after Nuss for pectus excavatum in a Marfan patient\u2014case report","volume":"21","author":"Jaroszewski","year":"2016","journal-title":"Int J Surg Case Rep"},{"key":"10.1016\/j.athoracsur.2026.03.054_bib8","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1053\/j.sempedsurg.2018.05.001","article-title":"Complications associated with the minimally invasive repair of pectus excavatum","volume":"27","author":"Goretsky","year":"2018","journal-title":"Semin Pediatr Surg"},{"key":"10.1016\/j.athoracsur.2026.03.054_bib9","doi-asserted-by":"crossref","first-page":"728","DOI":"10.1016\/j.jpedsurg.2017.07.020","article-title":"Life-threatening complications and mortality of minimally invasive pectus surgery","volume":"53","author":"Hebra","year":"2018","journal-title":"J Pediatr Surg"},{"key":"10.1016\/j.athoracsur.2026.03.054_bib10","doi-asserted-by":"crossref","first-page":"294","DOI":"10.1016\/j.athoracsur.2017.08.017","article-title":"Effects of pectus excavatum repair on right and left ventricular strain","volume":"105","author":"Chao","year":"2018","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2026.03.054_bib11","doi-asserted-by":"crossref","first-page":"e11","DOI":"10.1016\/j.athoracsur.2020.04.111","article-title":"Cardiac transplantation and consecutive minimally invasive pectus excavatum repair","volume":"111","author":"Jaroszewski","year":"2021","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2026.03.054_bib12","doi-asserted-by":"crossref","first-page":"904","DOI":"10.1016\/S0022-3468(87)80585-7","article-title":"Use of CT scans in selection of patients for pectus excavatum surgery: a preliminary report","volume":"22","author":"Haller","year":"1987","journal-title":"J Pediatr Surg"},{"key":"10.1016\/j.athoracsur.2026.03.054_bib13","doi-asserted-by":"crossref","first-page":"460","DOI":"10.2484\/rcr.v6i1.460","article-title":"Pectus excavatum","volume":"6","author":"Robbins","year":"2011","journal-title":"Radiol Case Rep"},{"key":"10.1016\/j.athoracsur.2026.03.054_bib14","doi-asserted-by":"crossref","first-page":"1600","DOI":"10.4187\/respcare.01471","article-title":"Incentive spirometry: 2011","volume":"56","author":"Restrepo","year":"2011","journal-title":"Respir Care"},{"key":"10.1016\/j.athoracsur.2026.03.054_bib15","first-page":"240","article-title":"Surgical approach for Stanford type A aortic dissection in a patient with Marfan syndrome and pectus excavatum","volume":"34","author":"Nisanoglu","year":"2007","journal-title":"Tex Heart Inst J"},{"key":"10.1016\/j.athoracsur.2026.03.054_bib16","doi-asserted-by":"crossref","first-page":"674","DOI":"10.1093\/icvts\/ivv400","article-title":"Management of severe asymmetric pectus excavatum complicating aortic repair in a patient with Marfan's syndrome","volume":"22","author":"Yeung","year":"2016","journal-title":"Interact Cardiovasc Thorac Surg"},{"key":"10.1016\/j.athoracsur.2026.03.054_bib17","doi-asserted-by":"crossref","first-page":"222","DOI":"10.1111\/j.1540-8191.2012.01429.x","article-title":"Emergent pectus excavatum repair after aortic root replacement in Marfan patient","volume":"27","author":"Stephens","year":"2012","journal-title":"J Card Surg"},{"key":"10.1016\/j.athoracsur.2026.03.054_bib18","doi-asserted-by":"crossref","first-page":"1015","DOI":"10.1016\/j.athoracsur.2021.07.051","article-title":"The severity of pectus excavatum defect is associated with impaired cardiopulmonary function","volume":"114","author":"Zens","year":"2022","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2026.03.054_bib19","doi-asserted-by":"crossref","first-page":"256","DOI":"10.1016\/j.jpeds.2011.01.065","article-title":"Increasing severity of pectus excavatum is associated with reduced pulmonary function","volume":"159","author":"Lawson","year":"2011","journal-title":"J Pediatr"},{"key":"10.1016\/j.athoracsur.2026.03.054_bib20","doi-asserted-by":"crossref","first-page":"1957","DOI":"10.1378\/chest.119.6.1957","article-title":"Severe pectus excavatum associated with cor pulmonale and chronic respiratory acidosis in a young woman","volume":"119","author":"Theerthakarai","year":"2001","journal-title":"Chest"}],"container-title":["The Annals of Thoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0003497526003176?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0003497526003176?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,11,13]],"date-time":"2026-11-13T09:18:00Z","timestamp":1794561480000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0003497526003176"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":20,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["S0003497526003176"],"URL":"https:\/\/doi.org\/10.1016\/j.athoracsur.2026.03.054","relation":{},"ISSN":["0003-4975"],"issn-type":[{"value":"0003-4975","type":"print"}],"subject":[],"published":{"date-parts":[[2026,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Impact of Severe Uncorrected Pectus Excavatum on Outcomes After Aortic Surgery in Marfan Syndrome","name":"articletitle","label":"Article Title"},{"value":"The Annals of Thoracic Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.athoracsur.2026.03.054","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 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"}]}}