{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T16:37:41Z","timestamp":1793205461622,"version":"4.5.0"},"reference-count":27,"publisher":"Elsevier BV","issue":"14","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,6,20]],"date-time":"2026-06-20T00:00:00Z","timestamp":1781913600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100006520","name":"Edwards Lifesciences Corporation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006520","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: Cardiovascular Interventions"],"published-print":{"date-parts":[[2026,7]]},"DOI":"10.1016\/j.jcin.2026.05.023","type":"journal-article","created":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T18:30:47Z","timestamp":1785177047000},"page":"1944-1955","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":4,"title":["Impact of Aortic Annulus Size on Outcomes After Aortic Valve Replacement"],"prefix":"10.1016","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7740-1481","authenticated-orcid":false,"given":"Mahesh V.","family":"Madhavan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael J.","family":"Mack","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philippe","family":"Pibarot","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1342-9191","authenticated-orcid":false,"given":"Rebecca T.","family":"Hahn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raj","family":"Makkar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vinod H.","family":"Thourani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susheel K.","family":"Kodali","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samir R.","family":"Kapadia","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philippe","family":"Genereux","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vasilis","family":"Babaliaros","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0430-3020","authenticated-orcid":false,"given":"Maria C.","family":"Alu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bradley","family":"Lubich","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin B.","family":"Leon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9163-724X","authenticated-orcid":false,"given":"David J.","family":"Cohen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jcin.2026.05.023_bib1","doi-asserted-by":"crossref","first-page":"1695","DOI":"10.1056\/NEJMoa1814052","article-title":"Transcatheter aortic-valve replacement with a balloon-expandable valve in low-risk patients","volume":"380","author":"Mack","year":"2019","journal-title":"N Engl J Med"},{"key":"10.1016\/j.jcin.2026.05.023_bib2","doi-asserted-by":"crossref","first-page":"1149","DOI":"10.1016\/j.jacc.2020.12.052","article-title":"Outcomes 2 years after transcatheter aortic valve replacement in patients at low surgical risk","volume":"77","author":"Leon","year":"2021","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.jcin.2026.05.023_bib3","doi-asserted-by":"crossref","first-page":"1949","DOI":"10.1056\/NEJMoa2307447","article-title":"Transcatheter aortic-valve replacement in low-risk patients at five years","volume":"389","author":"Mack","year":"2023","journal-title":"N Engl J Med"},{"key":"10.1016\/j.jcin.2026.05.023_bib4","doi-asserted-by":"crossref","first-page":"1706","DOI":"10.1056\/NEJMoa1816885","article-title":"Transcatheter aortic-valve replacement with a self-expanding valve in low-risk patients","volume":"380","author":"Popma","year":"2019","journal-title":"N Engl J Med"},{"key":"10.1016\/j.jcin.2026.05.023_bib5","doi-asserted-by":"crossref","first-page":"e16","DOI":"10.1016\/j.jtcvs.2024.08.023","article-title":"Four-year outcomes after transcatheter or contemporary surgical aortic valve replacement from the evolut low risk trial","volume":"170","author":"Ramlawi","year":"2024","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.jcin.2026.05.023_bib6","doi-asserted-by":"crossref","first-page":"1609","DOI":"10.1056\/NEJMoa1514616","article-title":"Transcatheter or surgical aortic-valve replacement in intermediate-risk patients","volume":"374","author":"Leon","year":"2016","journal-title":"N Engl J Med"},{"key":"10.1016\/j.jcin.2026.05.023_bib7","doi-asserted-by":"crossref","first-page":"1321","DOI":"10.1056\/NEJMoa1700456","article-title":"Surgical or transcatheter aortic-valve replacement in intermediate-risk patients","volume":"376","author":"Reardon","year":"2017","journal-title":"N Engl J Med"},{"key":"10.1016\/j.jcin.2026.05.023_bib8","doi-asserted-by":"crossref","first-page":"799","DOI":"10.1056\/NEJMoa1910555","article-title":"Five-year outcomes of transcatheter or surgical aortic-valve replacement","volume":"382","author":"Makkar","year":"2020","journal-title":"N Engl J Med"},{"key":"10.1016\/j.jcin.2026.05.023_bib9","doi-asserted-by":"crossref","first-page":"2485","DOI":"10.1016\/S0140-6736(15)60290-2","article-title":"5-year outcomes of transcatheter aortic valve replacement compared with standard treatment for patients with inoperable aortic stenosis (PARTNER 1): a randomised controlled trial","volume":"385","author":"Kapadia","year":"2015","journal-title":"Lancet"},{"key":"10.1016\/j.jcin.2026.05.023_bib10","doi-asserted-by":"crossref","first-page":"1972","DOI":"10.1016\/j.jacc.2014.02.556","article-title":"Transcatheter aortic valve replacement using a self-expanding bioprosthesis in patients with severe aortic stenosis at extreme risk for surgery","volume":"63","author":"Popma","year":"2014","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.jcin.2026.05.023_bib11","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1016\/j.jacc.2023.04.049","article-title":"Outcomes of SAPIEN 3 transcatheter aortic valve replacement compared with surgical valve replacement in intermediate-risk patients","volume":"82","author":"Madhavan","year":"2023","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.jcin.2026.05.023_bib12","doi-asserted-by":"crossref","first-page":"644","DOI":"10.1161\/CIRCULATIONAHA.123.067326","article-title":"Transcatheter or surgical aortic valve replacement in patients with severe aortic stenosis and small aortic annulus: a randomized clinical trial","volume":"149","author":"Rodes-Cabau","year":"2024","journal-title":"Circulation"},{"key":"10.1016\/j.jcin.2026.05.023_bib13","doi-asserted-by":"crossref","first-page":"2079","DOI":"10.1093\/eurheartj\/ehaf133","article-title":"Transcatheter vs. surgical aortic valve replacement in women: the RHEIA trial.","volume":"46","author":"Tchetche","year":"2025","journal-title":"Eur Heart J"},{"key":"10.1016\/j.jcin.2026.05.023_bib14","doi-asserted-by":"crossref","first-page":"1959","DOI":"10.1056\/NEJMoa2312573","article-title":"SMART trial investigators. Self-expanding or balloon-expandable TAVR in patients with a small aortic annulus","volume":"390","author":"Herrmann","year":"2024","journal-title":"N Engl J Med"},{"key":"10.1016\/j.jcin.2026.05.023_bib15","series-title":"SMART 2-year update","author":"Herrmann","year":"2025"},{"key":"10.1016\/j.jcin.2026.05.023_bib16","doi-asserted-by":"crossref","first-page":"1825","DOI":"10.1093\/eurheartj\/ehaa799","article-title":"Valve Academic Research Consortium 3: updated endpoint definitions for aortic valve clinical research","volume":"42","year":"2021","journal-title":"Eur Heart J"},{"key":"10.1016\/j.jcin.2026.05.023_bib17","doi-asserted-by":"crossref","first-page":"2833","DOI":"10.1016\/j.jacc.2019.09.007","article-title":"Health status after transcatheter versus surgical aortic valve replacement in low-risk patients with aortic stenosis","volume":"74","author":"Baron","year":"2019","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.jcin.2026.05.023_bib18","doi-asserted-by":"crossref","first-page":"2685","DOI":"10.1161\/CIRCULATIONAHA.118.038408","article-title":"Aortic stenosis and small aortic annulus","volume":"139","author":"Freitas-Ferraz","year":"2019","journal-title":"Circulation"},{"key":"10.1016\/j.jcin.2026.05.023_bib19","doi-asserted-by":"crossref","DOI":"10.31083\/RCM26738","article-title":"Aortic valve intervention in patients with aortic stenosis and small annulus","volume":"26","author":"Abdalwahab","year":"2025","journal-title":"Rev Cardiovasc Med"},{"key":"10.1016\/j.jcin.2026.05.023_bib20","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1016\/j.ahj.2021.09.011","article-title":"Rationale and design of the SMall annuli randomized to evolut or SAPIEN trial (SMART trial)","volume":"243","author":"Herrmann","year":"2022","journal-title":"Am Heart J"},{"key":"10.1016\/j.jcin.2026.05.023_bib21","doi-asserted-by":"crossref","first-page":"701","DOI":"10.1161\/CIRCINTERVENTIONS.114.001681","article-title":"Impact of aortic annulus size on valve hemodynamics and clinical outcomes after transcatheter and surgical aortic valve replacement: insights from the PARTNER trial","volume":"7","author":"Rodes-Cabau","year":"2014","journal-title":"Circ Cardiovasc Interv"},{"key":"10.1016\/j.jcin.2026.05.023_bib22","doi-asserted-by":"crossref","first-page":"566","DOI":"10.1016\/j.athoracsur.2022.12.033","article-title":"The Society of thoracic surgeons adult cardiac surgery database: 2022 update on outcomes and research","volume":"115","author":"Kim","year":"2023","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.jcin.2026.05.023_bib23","doi-asserted-by":"crossref","first-page":"260","DOI":"10.1016\/j.athoracsur.2023.11.016","article-title":"The Society of thoracic surgeons adult cardiac surgery database: 2023 update on procedure data and research","volume":"117","author":"Wyler von Ballmoos","year":"2024","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.jcin.2026.05.023_bib24","doi-asserted-by":"crossref","first-page":"2041","DOI":"10.1016\/j.jcin.2024.06.001","article-title":"3-Year outcomes of balloon-expandable valves: 20-mm vs larger valves (>\/=23 mm)","volume":"17","author":"Eng","year":"2024","journal-title":"JACC Cardiovasc Interv"},{"key":"10.1016\/j.jcin.2026.05.023_bib25","doi-asserted-by":"crossref","first-page":"1350","DOI":"10.4244\/EIJ-D-25-00682","article-title":"Long-term outcomes and durability of balloon-expandable TAVI in small and large annuli","volume":"21","author":"Yamamoto","year":"2025","journal-title":"EuroIntervention"},{"key":"10.1016\/j.jcin.2026.05.023_bib26","doi-asserted-by":"crossref","first-page":"506","DOI":"10.1016\/j.jcin.2024.11.006","article-title":"Late clinical outcomes of balloon-expandable valves in small Annuli: results from the PARTNER trials","volume":"18","author":"Hahn","year":"2025","journal-title":"JACC Cardiovasc Interv"},{"key":"10.1016\/j.jcin.2026.05.023_bib27","doi-asserted-by":"crossref","first-page":"1129","DOI":"10.1016\/j.athoracsur.2017.08.059","article-title":"Impact of annular size on outcomes after surgical or transcatheter aortic valve replacement","volume":"105","author":"Deeb","year":"2018","journal-title":"Ann Thorac Surg"}],"container-title":["JACC: Cardiovascular Interventions"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1936879826018248?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1936879826018248?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T16:14:51Z","timestamp":1793204091000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1936879826018248"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":27,"journal-issue":{"issue":"14","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["S1936879826018248"],"URL":"https:\/\/doi.org\/10.1016\/j.jcin.2026.05.023","relation":{},"ISSN":["1936-8798"],"issn-type":[{"value":"1936-8798","type":"print"}],"subject":[],"published":{"date-parts":[[2026,7]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Impact of Aortic Annulus Size on Outcomes After Aortic Valve Replacement","name":"articletitle","label":"Article Title"},{"value":"JACC: Cardiovascular Interventions","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jcin.2026.05.023","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"}]}}