{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T08:29:18Z","timestamp":1793867358511,"version":"4.6.1"},"reference-count":5,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"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":[[2026,10]]},"DOI":"10.1016\/j.athoracsur.2026.09.037","type":"journal-article","created":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T15:17:29Z","timestamp":1791213449000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Importance of Pericardial Integrity in Cardiac Surgery: More Questions Than Answers"],"prefix":"10.1016","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0915-3081","authenticated-orcid":false,"given":"Christopher","family":"Bayliss","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Enoch","family":"Akowuah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.athoracsur.2026.09.037_bib1","doi-asserted-by":"crossref","DOI":"10.1016\/j.athoracsur.2026.07.048","article-title":"Is intact anterior pericardium A factor in RV function","author":"Baciewicz","year":"2026","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2026.09.037_bib2","doi-asserted-by":"crossref","first-page":"1404","DOI":"10.1016\/j.athoracsur.2025.12.024","article-title":"Right ventricular function after mitral valve surgery: insights from the United Kingdom mini mitral study","volume":"121","author":"Bayliss","year":"2026","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2026.09.037_bib3","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1186\/s13019-018-0726-5","article-title":"The impact of pericardial approach and myocardial protection onto postoperative right ventricle function reduction","volume":"13","author":"Zanobini","year":"2018","journal-title":"J Cardiothorac Surg"},{"key":"10.1016\/j.athoracsur.2026.09.037_bib4","doi-asserted-by":"crossref","DOI":"10.1016\/j.athoracsur.2026.03.049","article-title":"Working with what you have: gaining insight and generating hypotheses","author":"Bayliss","year":"2026","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.athoracsur.2026.09.037_bib5","doi-asserted-by":"crossref","first-page":"1957","DOI":"10.1001\/jama.2023.7800","article-title":"Minithoracotomy vs conventional sternotomy for mitral valve repair. A randomized clinical trial","volume":"329","author":"Akowuah","year":"2023","journal-title":"JAMA"}],"container-title":["The Annals of Thoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0003497526010027?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0003497526010027?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T08:17:14Z","timestamp":1793866634000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0003497526010027"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":5,"alternative-id":["S0003497526010027"],"URL":"https:\/\/doi.org\/10.1016\/j.athoracsur.2026.09.037","relation":{},"ISSN":["0003-4975"],"issn-type":[{"value":"0003-4975","type":"print"}],"subject":[],"published":{"date-parts":[[2026,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"The Importance of Pericardial Integrity in Cardiac Surgery: More Questions Than Answers","name":"articletitle","label":"Article Title"},{"value":"The Annals of Thoracic Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.athoracsur.2026.09.037","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"https:\/\/doi.org\/10.1016\/j.athoracsur.2026.07.048","name":"associatedlink","label":"CrossRef DOI link to the associated document"},{"value":"simple-article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 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"}]}}