{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T13:18:57Z","timestamp":1788441537568,"version":"build-2803163510"},"reference-count":31,"publisher":"Elsevier BV","issue":"4","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,12,18]],"date-time":"2025-12-18T00:00:00Z","timestamp":1766016000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82370292"],"award-info":[{"award-number":["82370292"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"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":[[2026,4]]},"DOI":"10.1016\/j.jtcvs.2025.12.014","type":"journal-article","created":{"date-parts":[[2025,12,20]],"date-time":"2025-12-20T00:02:39Z","timestamp":1766188959000},"page":"986-996","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":3,"title":["Transapical beating-heart approach is advantageous for surgical septal reduction therapy in pediatrics"],"prefix":"10.1016","volume":"171","author":[{"given":"Yue","family":"Chen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yongqiang","family":"Lai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jing","family":"Fang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rui","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun","family":"Yan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tong","family":"Tan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zitao","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Song","family":"Wan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiang","family":"Wei","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"10075","key":"10.1016\/j.jtcvs.2025.12.014_bib1","doi-asserted-by":"crossref","first-page":"1253","DOI":"10.1016\/S0140-6736(16)31321-6","article-title":"Hypertrophic obstructive cardiomyopathy","volume":"389","author":"Veselka","year":"2017","journal-title":"Lancet"},{"issue":"1","key":"10.1016\/j.jtcvs.2025.12.014_bib2","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1016\/j.jtcvs.2020.04.007","article-title":"Anomalous papillary muscles-Implications in the surgical treatment of hypertrophic obstructive cardiomyopathy","volume":"163","author":"Lentz Carvalho","year":"2022","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"23","key":"10.1016\/j.jtcvs.2025.12.014_bib3","doi-asserted-by":"crossref","first-page":"e1239","DOI":"10.1161\/CIR.0000000000001250","article-title":"2024 AHA\/ACC\/AMSSM\/HRS\/PACES\/SCMR guideline for the management of hypertrophic cardiomyopathy: a report of the American Heart Association\/American College of Cardiology Joint Committee on clinical practice guidelines","volume":"149","author":"Ommen","year":"2024","journal-title":"Circulation"},{"issue":"1","key":"10.1016\/j.jtcvs.2025.12.014_bib4","doi-asserted-by":"crossref","first-page":"e9","DOI":"10.1161\/CIR.0000000000000682","article-title":"Cardiomyopathy in children: classification and diagnosis: a Scientific Statement from the American Heart Association","volume":"140","author":"Lipshultz","year":"2019","journal-title":"Circulation"},{"issue":"4","key":"10.1016\/j.jtcvs.2025.12.014_bib5","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1016\/j.hfc.2010.05.004","article-title":"Hypertrophic cardiomyopathy in childhood","volume":"6","author":"Colan","year":"2010","journal-title":"Heart Fail Clin"},{"issue":"11","key":"10.1016\/j.jtcvs.2025.12.014_bib6","doi-asserted-by":"crossref","first-page":"1220","DOI":"10.1177\/2047487317702519","article-title":"Risk factors for sudden cardiac death in childhood hypertrophic cardiomyopathy: a systematic review and meta-analysis","volume":"24","author":"Norrish","year":"2017","journal-title":"Eur J Prev Cardiol"},{"issue":"6","key":"10.1016\/j.jtcvs.2025.12.014_bib7","doi-asserted-by":"crossref","first-page":"1699","DOI":"10.1097\/JS9.0000000000000426","article-title":"Residual or recurrent obstruction after septal myectomy in young children and infants with hypertrophic cardiomyopathy: cohort study","volume":"109","author":"Dong","year":"2023","journal-title":"Int J Surg"},{"issue":"2","key":"10.1016\/j.jtcvs.2025.12.014_bib8","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1016\/j.athoracsur.2023.10.026","article-title":"Contemporary surgical management of hypertrophic cardiomyopathy","volume":"117","author":"Schaff","year":"2024","journal-title":"Ann Thorac Surg"},{"issue":"4","key":"10.1016\/j.jtcvs.2025.12.014_bib9","doi-asserted-by":"crossref","first-page":"390","DOI":"10.1016\/j.jacc.2021.11.021","article-title":"Management of hypertrophic cardiomyopathy","volume":"79","author":"Maron","year":"2022","journal-title":"J Am Coll Cardiol"},{"issue":"6","key":"10.1016\/j.jtcvs.2025.12.014_bib10","doi-asserted-by":"crossref","first-page":"2131","DOI":"10.1016\/j.athoracsur.2022.05.062","article-title":"Impact of hospital volume on outcomes of septal myectomy for hypertrophic cardiomyopathy","volume":"114","author":"Holst","year":"2022","journal-title":"Ann Thorac Surg"},{"issue":"7","key":"10.1016\/j.jtcvs.2025.12.014_bib11","doi-asserted-by":"crossref","first-page":"575","DOI":"10.1016\/j.jacc.2023.05.052","article-title":"First-in-human transapical beating-heart septal myectomy in patients with hypertrophic obstructive cardiomyopathy","volume":"82","author":"Fang","year":"2023","journal-title":"J Am Coll Cardiol"},{"issue":"5","key":"10.1016\/j.jtcvs.2025.12.014_bib12","doi-asserted-by":"crossref","DOI":"10.1161\/CIRCINTERVENTIONS.124.015044","article-title":"Transapical beating-heart septal myectomy for obstructive hypertrophic cardiomyopathy: lessons learned after the learning curve period","volume":"18","author":"Fang","year":"2025","journal-title":"Circ Cardiovasc Interv"},{"issue":"5","key":"10.1016\/j.jtcvs.2025.12.014_bib13","first-page":"907","article-title":"Unique aspects of hypertrophic cardiomyopathy in children","volume":"40","author":"Townsend","year":"2024","journal-title":"Can J Cardiol"},{"issue":"6","key":"10.1016\/j.jtcvs.2025.12.014_bib14","doi-asserted-by":"crossref","first-page":"533","DOI":"10.1016\/j.echo.2022.03.012","volume":"35","author":"Nagueh","year":"2022","journal-title":"J Am Soc Echocardiogr"},{"issue":"9","key":"10.1016\/j.jtcvs.2025.12.014_bib15","doi-asserted-by":"crossref","first-page":"1153","DOI":"10.1016\/j.cjco.2021.03.011","article-title":"Right ventricular outflow tract obstruction in adults: a systematic review and meta-analysis","volume":"3","author":"Zeng","year":"2021","journal-title":"CJC Open"},{"issue":"2","key":"10.1016\/j.jtcvs.2025.12.014_bib16","doi-asserted-by":"crossref","first-page":"663","DOI":"10.1016\/j.athoracsur.2012.08.011","article-title":"Outcome of septal myectomy for obstructive hypertrophic cardiomyopathy in children and young adults","volume":"95","author":"Altarabsheh","year":"2013","journal-title":"Ann Thorac Surg"},{"issue":"3","key":"10.1016\/j.jtcvs.2025.12.014_bib17","doi-asserted-by":"crossref","first-page":"499","DOI":"10.1016\/j.athoracsur.2023.04.021","article-title":"Septal myectomy outcomes in children and adolescents with obstructive hypertrophic cardiomyopathy","volume":"116","author":"Griffeth","year":"2023","journal-title":"Ann Thorac Surg"},{"issue":"6","key":"10.1016\/j.jtcvs.2025.12.014_bib18","doi-asserted-by":"crossref","first-page":"1006","DOI":"10.1093\/ejcts\/ezu313","article-title":"Surgery for biventricular obstruction in hypertrophic cardiomyopathy in children and young adults: technique and outcomesdagger","volume":"47","author":"Quintana","year":"2015","journal-title":"Eur J Cardiothorac Surg"},{"issue":"30","key":"10.1016\/j.jtcvs.2025.12.014_bib19","doi-asserted-by":"crossref","first-page":"2010","DOI":"10.1093\/eurheartj\/eht439","article-title":"A novel clinical risk prediction model for sudden cardiac death in hypertrophic cardiomyopathy (HCM risk-SCD)","volume":"35","author":"O'Mahony","year":"2014","journal-title":"Eur Heart J"},{"key":"10.1016\/j.jtcvs.2025.12.014_bib20","doi-asserted-by":"crossref","DOI":"10.1016\/j.ppedcard.2021.101412","article-title":"Prevention of sudden cardiac death in childhood-onset hypertrophic cardiomyopathy","volume":"62","author":"Kaski","year":"2021","journal-title":"Prog Pediatr Cardiol"},{"issue":"12","key":"10.1016\/j.jtcvs.2025.12.014_bib21","doi-asserted-by":"crossref","first-page":"7729","DOI":"10.1097\/JS9.0000000000001797","article-title":"Transapical beating heart septal myectomy learning curve and training of future surgeons: an observational study","volume":"110","author":"Li","year":"2024","journal-title":"Int J Surg"},{"issue":"2","key":"10.1016\/j.jtcvs.2025.12.014_bib22","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1016\/j.amjcard.2003.09.034","article-title":"Conduction system abnormalities in patients with obstructive hypertrophic cardiomyopathy following septal reduction interventions","volume":"93","author":"Qin","year":"2004","journal-title":"Am J Cardiol"},{"issue":"5","key":"10.1016\/j.jtcvs.2025.12.014_bib23","doi-asserted-by":"crossref","first-page":"645","DOI":"10.1016\/j.jacc.2019.05.053","article-title":"Conduction abnormalities and long-term mortality following septal myectomy in patients with obstructive hypertrophic cardiomyopathy","volume":"74","author":"Cui","year":"2019","journal-title":"J Am Coll Cardiol"},{"issue":"9","key":"10.1016\/j.jtcvs.2025.12.014_bib24","article-title":"Transapical beating-heart septal myectomy for obstructive hypertrophic cardiomyopathy with anomalous papillary muscle insertion","volume":"40","author":"Chen","year":"2025","journal-title":"Interdiscip Cardiovasc Thorac Surg"},{"issue":"3","key":"10.1016\/j.jtcvs.2025.12.014_bib25","doi-asserted-by":"crossref","first-page":"909","DOI":"10.1016\/j.jtcvs.2014.05.028","article-title":"Residual and recurrent gradients after septal myectomy for hypertrophic cardiomyopathy-mechanisms of obstruction and outcomes of reoperation","volume":"148","author":"Cho","year":"2014","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"2","key":"10.1016\/j.jtcvs.2025.12.014_bib26","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0192218","article-title":"Mid-term outcomes of biventricular obstruction and left ventricular outflow tract obstruction after surgery correction in child and adolescent patients with hypertrophic cardiomyopathy","volume":"13","author":"Zhai","year":"2018","journal-title":"PLoS One"},{"issue":"10","key":"10.1016\/j.jtcvs.2025.12.014_bib27","doi-asserted-by":"crossref","first-page":"855","DOI":"10.1253\/circj.67.855","article-title":"Echocardiographic assessment of right ventricular obstruction in hypertrophic cardiomyopathy","volume":"67","author":"Shimizu","year":"2003","journal-title":"Circ J"},{"issue":"1","key":"10.1016\/j.jtcvs.2025.12.014_bib28","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1016\/j.hfc.2021.07.012","article-title":"The risk of sudden death in children with hypertrophic cardiomyopathy","volume":"18","author":"Norrish","year":"2022","journal-title":"Heart Fail Clin"},{"issue":"3","key":"10.1016\/j.jtcvs.2025.12.014_bib29","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1007\/s10741-018-09767-w","article-title":"Review on sudden death risk reduction after septal reduction therapies in hypertrophic obstructive cardiomyopathy","volume":"24","author":"Rigopoulos","year":"2019","journal-title":"Heart Fail Rev"},{"issue":"2","key":"10.1016\/j.jtcvs.2025.12.014_bib30","doi-asserted-by":"crossref","first-page":"750","DOI":"10.1016\/j.jtcvs.2018.03.150","article-title":"Prediction of sudden death risk in obstructive hypertrophic cardiomyopathy: potential for refinement of current criteria","volume":"156","author":"Desai","year":"2018","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"5","key":"10.1016\/j.jtcvs.2025.12.014_bib31","doi-asserted-by":"crossref","first-page":"489","DOI":"10.1016\/j.jcmg.2023.07.005","article-title":"Quantitative late gadolinium enhancement cardiac magnetic resonance and sudden death in hypertrophic cardiomyopathy: a meta-analysis","volume":"17","author":"Kiaos","year":"2024","journal-title":"JACC Cardiovasc Imaging"}],"container-title":["The Journal of Thoracic and Cardiovascular Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022522325010694?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022522325010694?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T14:45:12Z","timestamp":1774968312000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0022522325010694"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4]]},"references-count":31,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["S0022522325010694"],"URL":"https:\/\/doi.org\/10.1016\/j.jtcvs.2025.12.014","relation":{},"ISSN":["0022-5223"],"issn-type":[{"value":"0022-5223","type":"print"}],"subject":[],"published":{"date-parts":[[2026,4]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Transapical beating-heart approach is advantageous for surgical septal reduction therapy in pediatrics","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.2025.12.014","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 The Authors. Published by Elsevier Inc. on behalf of The American Association for Thoracic Surgery.","name":"copyright","label":"Copyright"}]}}