{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T15:59:22Z","timestamp":1791302362660,"version":"4.1.0"},"reference-count":7,"publisher":"Elsevier BV","issue":"32","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,5,25]],"date-time":"2026-05-25T00:00:00Z","timestamp":1779667200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001871","name":"Funda\u00e7\u00e3o para a Ci\u00eancia e a Tecnologia","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001871","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jacc.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["JACC: Case Reports"],"published-print":{"date-parts":[[2026,8]]},"DOI":"10.1016\/j.jaccas.2026.108916","type":"journal-article","created":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T11:31:00Z","timestamp":1781868660000},"page":"108916","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Atrial Septal Defect Closure With Persistently Elevated Pulmonary Vascular Resistance"],"prefix":"10.1016","volume":"31","author":[{"given":"Daniel","family":"In\u00e1cio Cazeiro","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rui","family":"Pl\u00e1cido","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5211-3013","authenticated-orcid":false,"given":"Sofia","family":"Esteves","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Rita","family":"Francisco","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manuel","family":"Abecasis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tatiana","family":"Guimar\u00e3es","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00c2ngelo","family":"Nobre","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fausto","family":"J. Pinto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ricardo","family":"Ferreira","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"2","key":"10.1016\/j.jaccas.2026.108916_bib1","doi-asserted-by":"crossref","DOI":"10.1183\/13993003.01471-2022","article-title":"Genetic counselling and testing in pulmonary arterial hypertension: a consensus statement on behalf of the international consortium for genetic studies in PAH","volume":"61","author":"Eichstaedt","year":"2023","journal-title":"Eur Respir J"},{"issue":"6","key":"10.1016\/j.jaccas.2026.108916_bib2","doi-asserted-by":"crossref","first-page":"563","DOI":"10.1093\/eurheartj\/ehaa554","article-title":"2020 ESC guidelines for the management of adult congenital heart disease","volume":"42","author":"Baumgartner","year":"2021","journal-title":"Eur Heart J"},{"issue":"7","key":"10.1016\/j.jaccas.2026.108916_bib3","doi-asserted-by":"crossref","first-page":"822","DOI":"10.1016\/j.jacc.2025.09.006","article-title":"2025 ACC\/AHA\/HRS\/ISACHD\/SCAI guideline for the management of adults with congenital heart disease: a report of the American college of Cardiology\/American heart Association Joint Committee on clinical practice guidelines","volume":"87","author":"Gurvitz","year":"2026","journal-title":"J Am Coll Cardiol"},{"issue":"2","key":"10.1016\/j.jaccas.2026.108916_bib4","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1532\/HSF98.20111085","article-title":"Surgical strategy in patients with atrial septal defect and severe pulmonary hypertension","volume":"15","author":"Cho","year":"2012","journal-title":"Heart Surg Forum"},{"key":"10.1016\/j.jaccas.2026.108916_bib5","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1016\/j.ijcard.2019.03.056","article-title":"\u201cTreat-to-close\u201d: non-repairable ASD-PAH in the adult","volume":"291","author":"Bradley","year":"2019","journal-title":"Int J Cardiol"},{"key":"10.1016\/j.jaccas.2026.108916_bib6","article-title":"\u201cTreat-Close-Treat\u201d strategy in adult congenital heart disease related pulmonary arterial hypertension (ACHD-PAH)","volume":"2","author":"He","year":"2021","journal-title":"Int J Cardiol Congenit Heart Dis"},{"issue":"5","key":"10.1016\/j.jaccas.2026.108916_bib7","doi-asserted-by":"crossref","first-page":"382","DOI":"10.1136\/heartjnl-2021-319096","article-title":"Efficacy of treat-and-repair strategy for atrial septal defect with pulmonary arterial hypertension","volume":"108","author":"Takaya","year":"2022","journal-title":"Heart"}],"container-title":["JACC: Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2666084926020759?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2666084926020759?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T15:38:01Z","timestamp":1791301081000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2666084926020759"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":7,"journal-issue":{"issue":"32","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["S2666084926020759"],"URL":"https:\/\/doi.org\/10.1016\/j.jaccas.2026.108916","relation":{},"ISSN":["2666-0849"],"issn-type":[{"value":"2666-0849","type":"print"}],"subject":[],"published":{"date-parts":[[2026,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Atrial Septal Defect Closure With Persistently Elevated Pulmonary Vascular Resistance","name":"articletitle","label":"Article Title"},{"value":"JACC: Case Reports","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jaccas.2026.108916","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Authors. Published by Elsevier on behalf of the American College of Cardiology Foundation.","name":"copyright","label":"Copyright"}],"article-number":"108916"}}