{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T04:36:53Z","timestamp":1793162213631,"version":"4.5.0"},"reference-count":11,"publisher":"Elsevier BV","issue":"42","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"},{"start":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T00:00:00Z","timestamp":1789603200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"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":[[2026,10]]},"DOI":"10.1016\/j.jaccas.2026.110674","type":"journal-article","created":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T19:54:48Z","timestamp":1792612488000},"page":"110674","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Residual Communications After Surgical Left Atrial Appendage Closure"],"prefix":"10.1016","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0159-5638","authenticated-orcid":false,"given":"Sachiyo","family":"Ono","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vinayak N.","family":"Bapat","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"22","key":"10.1016\/j.jaccas.2026.110674_bib1","doi-asserted-by":"crossref","first-page":"2081","DOI":"10.1056\/NEJMoa2101897","article-title":"Left atrial appendage occlusion during cardiac surgery to prevent stroke","volume":"384","author":"Whitlock","year":"2021","journal-title":"N Engl J Med"},{"issue":"2","key":"10.1016\/j.jaccas.2026.110674_bib2","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1016\/j.athoracsur.2024.01.007","article-title":"The Society of Thoracic Surgeons 2023 clinical practice guidelines for the surgical treatment of atrial fibrillation","volume":"118","author":"Wyler Von Ballmoos","year":"2024","journal-title":"Ann Thorac Surg"},{"issue":"1","key":"10.1016\/j.jaccas.2026.110674_bib3","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1016\/j.jacc.2023.08.017","article-title":"2023 ACC\/AHA\/ACCP\/HRS Guideline for the diagnosis and management of atrial fibrillation: a report of the American College of Cardiology\/American Heart Association Joint Committee on Clinical Practice Guidelines","volume":"83","author":"Joglar","year":"2024","journal-title":"J Am Coll Cardiol"},{"issue":"11","key":"10.1016\/j.jaccas.2026.110674_bib4","doi-asserted-by":"crossref","first-page":"924","DOI":"10.1016\/j.jacc.2008.03.067","article-title":"Success of surgical left atrial appendage closure","volume":"52","author":"Kanderian","year":"2008","journal-title":"J Am Coll Cardiol"},{"issue":"12","key":"10.1016\/j.jaccas.2026.110674_bib5","doi-asserted-by":"crossref","first-page":"1251","DOI":"10.1016\/j.jcmg.2014.08.009","article-title":"The left atrial appendage: anatomy, function, and noninvasive evaluation","volume":"7","author":"Beigel","year":"2014","journal-title":"JACC Cardiovasc Imaging"},{"issue":"7","key":"10.1016\/j.jaccas.2026.110674_bib6","doi-asserted-by":"crossref","first-page":"1431","DOI":"10.1016\/j.hrthm.2015.03.028","article-title":"Association between incomplete surgical ligation of left atrial appendage and stroke and systemic embolization","volume":"12","author":"Aryana","year":"2015","journal-title":"Heart Rhythm"},{"key":"10.1016\/j.jaccas.2026.110674_bib7","doi-asserted-by":"crossref","first-page":"110207","DOI":"10.1016\/j.jaccas.2026.110207","article-title":"Elongated channels between surgically excluded LAA and LA: detected by CTA but missed by TEE","volume":"31(42)","author":"Asachi","year":"2026","journal-title":"JACC Case Rep"},{"issue":"2","key":"10.1016\/j.jaccas.2026.110674_bib8","doi-asserted-by":"crossref","first-page":"468","DOI":"10.1016\/S0735-1097(00)00765-8","article-title":"Surgical left atrial appendage ligation is frequently incomplete: a transesophageal echocardiographic study","volume":"36","author":"Katz","year":"2000","journal-title":"J Am Coll Cardiol"},{"issue":"10","key":"10.1016\/j.jaccas.2026.110674_bib9","article-title":"Speech bubble sign\u2014insights regarding incomplete left atrial appendage closure via electrocardiography-synchronized computed tomography in robotic surgery cases","volume":"40","author":"Nakayama","year":"2025","journal-title":"Interdiscip Cardiovasc Thorac Surg"},{"issue":"1","key":"10.1016\/j.jaccas.2026.110674_bib10","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1016\/j.atssr.2025.09.023","article-title":"Incidence and determinants of incomplete left atrial appendage occlusion during robot-assisted mitral valve surgery","volume":"4","author":"Hirayama","year":"2026","journal-title":"Ann Thorac Surg Short Rep"},{"issue":"4","key":"10.1016\/j.jaccas.2026.110674_bib11","doi-asserted-by":"crossref","first-page":"498","DOI":"10.1016\/j.jcct.2025.05.233","article-title":"Prospective evaluation of computed tomography imaging for left atrial appendage exclusion using AtriClip: impact on device sizing and imaging outcomes","volume":"19","author":"Okada","year":"2025","journal-title":"J Cardiovasc Comput Tomogr"}],"container-title":["JACC: Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2666084926038349?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2666084926038349?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T04:15:31Z","timestamp":1793160931000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2666084926038349"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":11,"journal-issue":{"issue":"42","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["S2666084926038349"],"URL":"https:\/\/doi.org\/10.1016\/j.jaccas.2026.110674","relation":{},"ISSN":["2666-0849"],"issn-type":[{"value":"2666-0849","type":"print"}],"subject":[],"published":{"date-parts":[[2026,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Residual Communications After Surgical Left Atrial Appendage Closure","name":"articletitle","label":"Article Title"},{"value":"JACC: Case Reports","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jaccas.2026.110674","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"https:\/\/doi.org\/10.1016\/j.jaccas.2026.110207","name":"associatedlink","label":"CrossRef DOI link to the associated document"},{"value":"simple-article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Published by Elsevier on behalf of the American College of Cardiology Foundation.","name":"copyright","label":"Copyright"}],"article-number":"110674"}}