{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T12:21:21Z","timestamp":1785414081695,"version":"3.56.0"},"reference-count":25,"publisher":"Elsevier BV","issue":"3","license":[{"start":{"date-parts":[[2010,9,1]],"date-time":"2010-09-01T00:00:00Z","timestamp":1283299200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2010,9,1]],"date-time":"2010-09-01T00:00:00Z","timestamp":1283299200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2016,7,6]],"date-time":"2016-07-06T00:00:00Z","timestamp":1467763200000},"content-version":"vor","delay-in-days":2135,"URL":"http:\/\/www.elsevier.com\/open-access\/userlicense\/1.0\/"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jtcvsonline.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Thoracic and Cardiovascular Surgery"],"published-print":{"date-parts":[[2010,9]]},"DOI":"10.1016\/j.jtcvs.2009.11.003","type":"journal-article","created":{"date-parts":[[2010,2,2]],"date-time":"2010-02-02T04:36:51Z","timestamp":1265085411000},"page":"617-623","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":79,"title":["Functional mitral stenosis after surgical annuloplasty for ischemic mitral regurgitation: Importance of subvalvular tethering in the mechanism and dynamic deterioration during exertion"],"prefix":"10.1016","volume":"140","author":[{"given":"Kayoko","family":"Kubota","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yutaka","family":"Otsuji","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tetsuya","family":"Ueno","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chihaya","family":"Koriyama","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert A.","family":"Levine","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryuzo","family":"Sakata","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chuwa","family":"Tei","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jtcvs.2009.11.003_bib1","doi-asserted-by":"crossref","first-page":"565","DOI":"10.1161\/01.CIR.63.3.565","article-title":"Incomplete mitral leaflet closure in patients with papillary muscle dysfunction","volume":"63","author":"Godley","year":"1981","journal-title":"Circulation"},{"key":"10.1016\/j.jtcvs.2009.11.003_bib2","doi-asserted-by":"crossref","first-page":"312","DOI":"10.1016\/0002-8703(79)90430-7","article-title":"Cross-sectional echocardiographic spectrum of papillary muscle dysfunction","volume":"97","author":"Ogawa","year":"1979","journal-title":"Am Heart J"},{"key":"10.1016\/j.jtcvs.2009.11.003_bib3","doi-asserted-by":"crossref","first-page":"1999","DOI":"10.1161\/01.CIR.96.6.1999","article-title":"Insights from three-dimensional echocardiography into the mechanism of functional mitral regurgitation: direct in vivo demonstration of altered leaflet tethering geometry","volume":"96","author":"Otsuji","year":"1997","journal-title":"Circulation"},{"key":"10.1016\/j.jtcvs.2009.11.003_bib4","doi-asserted-by":"crossref","first-page":"1400","DOI":"10.1161\/01.CIR.102.12.1400","article-title":"Determinants of the degree of functional mitral regurgitation in patients with systolic left ventricular dysfunction: a quantitative clinical study","volume":"102","author":"Yiu","year":"2000","journal-title":"Circulation"},{"issue":"Suppl II","key":"10.1016\/j.jtcvs.2009.11.003_bib5","first-page":"II128","article-title":"Geometric determinants of ischemic mitral regurgitation","volume":"96","author":"Komeda","year":"1997","journal-title":"Circulation"},{"key":"10.1016\/j.jtcvs.2009.11.003_bib6","doi-asserted-by":"crossref","first-page":"326","DOI":"10.1016\/j.euje.2004.03.001","article-title":"Echocardiographic classification of chronic ischemic mitral regurgitation caused by restricted motion according to tethering pattern","volume":"5","author":"Agricola","year":"2004","journal-title":"Eur J Echocardiogr"},{"key":"10.1016\/j.jtcvs.2009.11.003_bib7","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1161\/01.CIR.58.1.125","article-title":"Stroke volume calculated from the mitral valve echogram in patients with and without ventricular dyssynergy","volume":"58","author":"Rasmussen","year":"1978","journal-title":"Circulation"},{"key":"10.1016\/j.jtcvs.2009.11.003_bib8","doi-asserted-by":"crossref","first-page":"1008","DOI":"10.1016\/S0002-9149(77)80215-4","article-title":"Mitral-septal separation: new echocardiographic index of LV dysfunction","volume":"39","author":"Massie","year":"1977","journal-title":"Am J Cardiol"},{"key":"10.1016\/j.jtcvs.2009.11.003_bib9","doi-asserted-by":"crossref","first-page":"398","DOI":"10.1016\/S0735-1097(98)00237-X","article-title":"Restricted diastolic opening of the mitral leaflets in patients with left ventricular dysfunction: evidence for increased valve tethering","volume":"32","author":"Otsuji","year":"1998","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.jtcvs.2009.11.003_bib10","first-page":"538","article-title":"Doing away with dogma: increasing afterload to reduce mitral regurgitation","volume":"33","author":"Wisenbaugh","year":"1999","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.jtcvs.2009.11.003_bib11","doi-asserted-by":"crossref","first-page":"1692","DOI":"10.1016\/j.jacc.2007.11.082","article-title":"Restrictive annuloplasty for ischemic mitral regurgitation may induce functional mitral stenosis","volume":"51","author":"Magne","year":"2008","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.jtcvs.2009.11.003_bib12","doi-asserted-by":"crossref","first-page":"1713","DOI":"10.1161\/01.CIR.0000087599.49332.05","article-title":"Prognostic importance of exercise-induced changes in mitral regurgitation in patients with chronic ischemic left ventricular dysfunction","volume":"108","author":"Lancellotti","year":"2003","journal-title":"Circulation"},{"key":"10.1016\/j.jtcvs.2009.11.003_bib13","doi-asserted-by":"crossref","first-page":"1627","DOI":"10.1056\/NEJMoa040532","article-title":"The role of ischemic mitral regurgitation in the pathogenesis of acute pulmonary edema","volume":"351","author":"Pi\u00e9rard","year":"2004","journal-title":"N Engl J Med"},{"key":"10.1016\/j.jtcvs.2009.11.003_bib14","first-page":"288","article-title":"Surgical treatment for ischemic mitral regurgitation: strategy for a tethered valve","volume":"11","author":"Terai","year":"2005","journal-title":"Ann Thorac Cardiovasc Surg"},{"key":"10.1016\/j.jtcvs.2009.11.003_bib15","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1161\/01.CIR.64.1.113","article-title":"Size and motion of the mitral valve annulus in man. I. A two-dimensional echocardiographic method and findings in normal subjects","volume":"64","author":"Ormiston","year":"1981","journal-title":"Circulation"},{"issue":"11 Suppl 1","key":"10.1016\/j.jtcvs.2009.11.003_bib16","first-page":"II85","article-title":"Mechanism of recurrent ischemic mitral regurgitation after annuloplasty: continued LV remodeling as a moving target","volume":"110","author":"Hung","year":"2004","journal-title":"Circulation"},{"key":"10.1016\/j.jtcvs.2009.11.003_bib17","doi-asserted-by":"crossref","first-page":"452","DOI":"10.1161\/01.CIR.94.3.452","article-title":"Insights from three-dimensional echocardiographic laser stereolithography: effect of leaflet funnel geometry on the coefficient of orifice contraction, pressure loss, and the Gorlin formula in mitral stenosis","volume":"94","author":"Gilon","year":"1996","journal-title":"Circulation"},{"key":"10.1016\/j.jtcvs.2009.11.003_bib18","doi-asserted-by":"crossref","first-page":"916","DOI":"10.1016\/j.jtcvs.2004.07.037","article-title":"Recurrent mitral regurgitation after annuloplasty for functional ischemic mitral regurgitation","volume":"128","author":"McGee","year":"2004","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.jtcvs.2009.11.003_bib19","doi-asserted-by":"crossref","first-page":"737","DOI":"10.1093\/oxfordjournals.eurheartj.a059558","article-title":"Validation of continuous-wave Doppler measurements of mitral valve gradients during exercise: a simultaneous Doppler-catheter study","volume":"10","author":"Voelker","year":"1989","journal-title":"Eur Heart J"},{"issue":"Suppl II","key":"10.1016\/j.jtcvs.2009.11.003_bib20","first-page":"II103","article-title":"Restrictive annuloplasty and coronary revascularization in ischemic mitral regurgitation results in reverse left ventricular remodeling","volume":"110","author":"Bax","year":"2004","journal-title":"Circulation"},{"key":"10.1016\/j.jtcvs.2009.11.003_bib21","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1016\/S0022-5223(98)70282-X","article-title":"Intermediate-term outcome of mitral reconstruction in cardiomyopathy","volume":"115","author":"Bolling","year":"1998","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.jtcvs.2009.11.003_bib22","doi-asserted-by":"crossref","first-page":"676","DOI":"10.1016\/S0022-5223(95)70348-9","article-title":"Early outcome of mitral valve reconstruction in patients with end-stage cardiomyopathy","volume":"109","author":"Bolling","year":"1995","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.jtcvs.2009.11.003_bib23","doi-asserted-by":"crossref","first-page":"915","DOI":"10.1016\/0002-9149(87)91119-2","article-title":"Pressure-flow relations across the normal mitral valve","volume":"59","author":"Jawad","year":"1987","journal-title":"Am J Cardiol"},{"key":"10.1016\/j.jtcvs.2009.11.003_bib24","doi-asserted-by":"crossref","first-page":"1702","DOI":"10.1016\/j.jacc.2008.01.032","article-title":"Restrictive annuloplasty for ischemic mitral regurgitation: too little or too much?","volume":"51","author":"Marwick","year":"2008","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.jtcvs.2009.11.003_bib25","doi-asserted-by":"crossref","first-page":"1548","DOI":"10.1016\/j.jtcvs.2007.08.031","article-title":"Effectiveness of surgical ventricular restoration in patients with dilated ischemic cardiomyopathy and unrepaired mild mitral regurgitation","volume":"134","author":"Di Donato","year":"2007","journal-title":"J\u00a0Thorac Cardiovasc Surg"}],"container-title":["The Journal of Thoracic and Cardiovascular Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022522309014299?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022522309014299?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,9,20]],"date-time":"2025-09-20T16:47:46Z","timestamp":1758386866000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0022522309014299"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,9]]},"references-count":25,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2010,9]]}},"alternative-id":["S0022522309014299"],"URL":"https:\/\/doi.org\/10.1016\/j.jtcvs.2009.11.003","relation":{},"ISSN":["0022-5223"],"issn-type":[{"value":"0022-5223","type":"print"}],"subject":[],"published":{"date-parts":[[2010,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Functional mitral stenosis after surgical annuloplasty for ischemic mitral regurgitation: Importance of subvalvular tethering in the mechanism and dynamic deterioration during exertion","name":"articletitle","label":"Article Title"},{"value":"The Journal of Thoracic and Cardiovascular Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jtcvs.2009.11.003","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Copyright \u00a9 2010 The American Association for Thoracic Surgery. Published by Mosby, Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}