{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T10:52:14Z","timestamp":1791975134310,"version":"4.4.0"},"reference-count":33,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"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":[[2026,5]]},"DOI":"10.1016\/j.jtcvs.2026.04.024","type":"journal-article","created":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T09:35:25Z","timestamp":1777887325000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Long-term echocardiographic and clinical outcomes after aortic root replacement in patients with Marfan syndrome"],"prefix":"10.1016","author":[{"given":"Iv\u00e1n","family":"Murrieta-\u00c1lvarez","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D. Craig","family":"Miller","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott A.","family":"LeMaire","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heidy M.","family":"Connolly","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan Y.","family":"Green","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"III","given":"Thoralf M.","family":"Sundt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nimesh D.","family":"Desai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leonard N.","family":"Girardi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hartzell V.","family":"Schaff","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"III","given":"Harry C.","family":"Dietz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc R.","family":"Moon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2176-5988","authenticated-orcid":false,"given":"Joseph S.","family":"Coselli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph S.","family":"Coselli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"III","given":"Harry C.","family":"Dietz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heidi M.","family":"Connolly","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dianna M.","family":"Milewicz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberto R.","family":"Favaloro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Puja","family":"Kachroo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael A.","family":"Borger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"III","given":"Thoralf M.","family":"Sundt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hartzell V.","family":"Schaff","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Munir","family":"Boodhwani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas T.","family":"Kouchoukos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leonard N.","family":"Girardi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S. Christopher","family":"Malaisrie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D. Craig","family":"Miller","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc R.","family":"Moon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott A.","family":"LeMaire","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Fischbein","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nimesh D.","family":"Desai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"5","key":"10.1016\/j.jtcvs.2026.04.024_bib1","doi-asserted-by":"crossref","first-page":"1344","DOI":"10.1016\/j.athoracsur.2009.01.073","article-title":"Aortic root replacement in 372 Marfan patients: evolution of operative repair over 30 years","volume":"87","author":"Cameron","year":"2009","journal-title":"Ann Thorac Surg"},{"issue":"4","key":"10.1016\/j.jtcvs.2026.04.024_bib2","doi-asserted-by":"crossref","first-page":"859","DOI":"10.1016\/j.jtcvs.2009.06.014","article-title":"Long-term results of aortic valve-sparing operations in patients with Marfan syndrome","volume":"138","author":"David","year":"2009","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"2","key":"10.1016\/j.jtcvs.2026.04.024_bib3","doi-asserted-by":"crossref","first-page":"391","DOI":"10.1016\/j.jtcvs.2003.07.049","article-title":"Aortic root surgery in Marfan syndrome: comparison of aortic valve\u2013sparing reimplantation versus composite grafting","volume":"127","author":"Karck","year":"2004","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"1","key":"10.1016\/j.jtcvs.2026.04.024_bib4","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1016\/j.jtcvs.2013.09.009","article-title":"Incidence and progression of mild aortic regurgitation after Tirone David reimplantation valve-sparing aortic root replacement","volume":"147","author":"Stephens","year":"2014","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"4","key":"10.1016\/j.jtcvs.2026.04.024_bib5","doi-asserted-by":"crossref","first-page":"1025","DOI":"10.1016\/j.jtcvs.2025.02.008","article-title":"Valve-sparing aortic root replacement in bicuspid aortic valves\u2014the reimplantation technique: a multicenter study","volume":"170","author":"Arabkhani","year":"2025","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"1","key":"10.1016\/j.jtcvs.2026.04.024_bib6","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1016\/j.jtcvs.2018.10.155","article-title":"Long-term experience with valve-sparing reimplantation technique for the treatment of aortic aneurysm and aortic regurgitation","volume":"158","author":"Mastrobuoni","year":"2019","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"6","key":"10.1016\/j.jtcvs.2026.04.024_bib7","doi-asserted-by":"crossref","first-page":"1617","DOI":"10.1016\/j.jtcvs.2022.11.019","article-title":"Aortic valve reimplantation in patients with connective tissue disorders: are the leaflets durable?","volume":"166","author":"Svensson","year":"2023","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"3","key":"10.1016\/j.jtcvs.2026.04.024_bib8","doi-asserted-by":"crossref","DOI":"10.1093\/ejcts\/ezaf020","article-title":"Aortic valve repair in adults: long-term clinical outcomes and echocardiographic evolution in different valve repair techniques","volume":"67","author":"Zito","year":"2025","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.1016\/j.jtcvs.2026.04.024_bib9","first-page":"47","article-title":"Left ventricular reverse remodeling after aortic valve replacement or repair in bicuspid aortic valve with moderate or greater aortic regurgitation","volume":"19","author":"Kochav","year":"2024","journal-title":"J Thorac Cardiovasc Surg Open"},{"issue":"6","key":"10.1016\/j.jtcvs.2026.04.024_bib10","doi-asserted-by":"crossref","first-page":"2090","DOI":"10.1016\/j.athoracsur.2013.07.056","article-title":"Improved left ventricular function and remodeling after the David V for significant aortic insufficiency","volume":"96","author":"Leshnower","year":"2013","journal-title":"Ann Thorac Surg"},{"issue":"1","key":"10.1016\/j.jtcvs.2026.04.024_bib11","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1111\/jocs.12457","article-title":"Aortic valve repair versus replacement for aortic regurgitation: effects on left ventricular remodeling","volume":"30","author":"Regeer","year":"2015","journal-title":"J Card Surg"},{"issue":"5","key":"10.1016\/j.jtcvs.2026.04.024_bib12","doi-asserted-by":"crossref","first-page":"1790","DOI":"10.1016\/j.jtcvs.2021.08.064","article-title":"Midterm outcomes of aortic root surgery in patients with Marfan syndrome: a prospective, multicenter, comparative study","volume":"165","author":"Coselli","year":"2023","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.jtcvs.2026.04.024_bib13","doi-asserted-by":"crossref","DOI":"10.1016\/j.jtcvs.2026.04.044","article-title":"Ten-year outcomes of valve-replacing versus valve-sparing aortic root replacement in Marfan syndrome patients: an observational multicenter study","author":"Coselli","year":"2026","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"4","key":"10.1016\/j.jtcvs.2026.04.024_bib14","doi-asserted-by":"crossref","first-page":"1490","DOI":"10.1016\/j.athoracsur.2007.12.082","article-title":"Guidelines for reporting mortality and morbidity after cardiac valve interventions","volume":"85","author":"Akins","year":"2008","journal-title":"Ann Thorac Surg"},{"issue":"4","key":"10.1016\/j.jtcvs.2026.04.024_bib15","doi-asserted-by":"crossref","first-page":"1193","DOI":"10.1016\/j.jtcvs.2020.06.137","article-title":"Aortic dimensions as predictors of adverse events","volume":"161","author":"Girardi","year":"2021","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"24","key":"10.1016\/j.jtcvs.2026.04.024_bib16","doi-asserted-by":"crossref","first-page":"e334","DOI":"10.1161\/CIR.0000000000001106","article-title":"2022 ACC\/AHA guideline for the diagnosis and management of aortic disease: a report of the American Heart Association\/American College of Cardiology Joint Committee on Clinical Practice Guidelines","volume":"146","author":"Isselbacher","year":"2022","journal-title":"Circulation"},{"issue":"6","key":"10.1016\/j.jtcvs.2026.04.024_bib17","doi-asserted-by":"crossref","first-page":"1672","DOI":"10.1016\/j.jtcvs.2022.02.065","article-title":"Impact of aortic valve effective height following valve-sparing root replacement on postoperative insufficiency and reoperation","volume":"164","author":"Kachroo","year":"2022","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.jtcvs.2026.04.024_bib18","first-page":"85","article-title":"Valve-sparing aortic root replacement: strategies to avoid residual aortic regurgitation","volume":"24","author":"Kari","year":"2025","journal-title":"J Thorac Cardiovasc Surg Open"},{"issue":"1","key":"10.1016\/j.jtcvs.2026.04.024_bib19","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1016\/j.jtcvs.2025.04.035","article-title":"Mastering aortic valve repair: a standardized step-by-step teaching approach of remodeling root replacement with external ring annuloplasty","volume":"171","author":"Saiydoun","year":"2026","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"3","key":"10.1016\/j.jtcvs.2026.04.024_bib20","doi-asserted-by":"crossref","first-page":"729","DOI":"10.1016\/j.athoracsur.2023.12.018","article-title":"Valve-sparing aortic root replacement state-of-the-art review, part I: anatomy and physiology","volume":"118","author":"Stephens","year":"2024","journal-title":"Ann Thorac Surg"},{"issue":"3","key":"10.1016\/j.jtcvs.2026.04.024_bib21","doi-asserted-by":"crossref","first-page":"736","DOI":"10.1016\/j.athoracsur.2023.12.019","article-title":"Valve-sparing aortic root replacement state-of-the-art review, part II: surgical techniques","volume":"118","author":"Stephens","year":"2024","journal-title":"Ann Thorac Surg"},{"issue":"3","key":"10.1016\/j.jtcvs.2026.04.024_bib22","doi-asserted-by":"crossref","DOI":"10.1093\/ejcts\/ezac366","article-title":"Outcomes of valve-sparing surgery in heritable aortic disorders: results from the AVIATOR registry","volume":"62","author":"Chauvette","year":"2022","journal-title":"Eur J Cardiothorac Surg"},{"issue":"1","key":"10.1016\/j.jtcvs.2026.04.024_bib23","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1093\/ejcts\/ezy016","article-title":"Reimplantation versus remodelling with ring annuloplasty: comparison of mid-term outcomes after valve-sparing aortic root replacement","volume":"54","author":"Lenoir","year":"2018","journal-title":"Eur J Cardiothorac Surg"},{"issue":"1","key":"10.1016\/j.jtcvs.2026.04.024_bib24","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1016\/j.jtcvs.2015.08.026","article-title":"Long-term results of the valve reimplantation technique using a graft with sinuses","volume":"151","author":"De Paulis","year":"2016","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"1","key":"10.1016\/j.jtcvs.2026.04.024_bib25","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1016\/j.jtcvs.2014.08.077","article-title":"Rationale and results of the Stanford modification of the David V reimplantation technique for valve-sparing aortic root replacement","volume":"149","author":"Miller","year":"2015","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"5","key":"10.1016\/j.jtcvs.2026.04.024_bib26","doi-asserted-by":"crossref","first-page":"1438","DOI":"10.1016\/j.jtcvs.2024.06.013","article-title":"External aortic annuloplasty with a dedicated expansible ring improves outcomes in remodeling root repair compared with homemade Dacron ring","volume":"169","author":"Shraer","year":"2025","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"19","key":"10.1016\/j.jtcvs.2026.04.024_bib27","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","author":"Genereux","year":"2021","journal-title":"Eur Heart J"},{"issue":"5","key":"10.1016\/j.jtcvs.2026.04.024_bib28","doi-asserted-by":"crossref","first-page":"515","DOI":"10.1093\/ehjqcco\/qcae051","article-title":"The first International Consortium for Health Outcomes Measurement (ICHOM) standard dataset for reporting outcomes in heart valve disease: moving from device- to patient- centered outcomes","volume":"11","author":"Lansac","year":"2025","journal-title":"Eur Heart J Qual Care Clin Outcomes"},{"issue":"1","key":"10.1016\/j.jtcvs.2026.04.024_bib29","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1001\/jamacardio.2023.4090","article-title":"Long-term clinical and echocardiographic outcomes following the Ross procedure: a post hoc analysis of a randomized clinical trial","volume":"9","author":"Notenboom","year":"2024","journal-title":"JAMA Cardiol"},{"issue":"5","key":"10.1016\/j.jtcvs.2026.04.024_bib30","doi-asserted-by":"crossref","first-page":"539","DOI":"10.1001\/jamacardio.2020.7434","article-title":"Long-term clinical and echocardiographic outcomes in young and middle-aged adults undergoing the Ross procedure","volume":"6","author":"Romeo","year":"2021","journal-title":"JAMA Cardiol"},{"issue":"5","key":"10.1016\/j.jtcvs.2026.04.024_bib31","doi-asserted-by":"crossref","first-page":"1790","DOI":"10.1016\/j.jtcvs.2021.08.064","article-title":"Midterm outcomes of aortic root surgery in patients with Marfan syndrome: a prospective, multicenter, comparative study","volume":"165","author":"Coselli","year":"2023","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"1","key":"10.1016\/j.jtcvs.2026.04.024_bib32","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1111\/rssb.12027","article-title":"Covariate balancing propensity score","volume":"76","author":"Imai","year":"2014","journal-title":"J R Stat Soc Series B Stat Methodol"},{"issue":"4","key":"10.1016\/j.jtcvs.2026.04.024_bib33","doi-asserted-by":"crossref","first-page":"708","DOI":"10.1093\/biostatistics\/kxl043","article-title":"Joint frailty models for recurring events and death using maximum penalized likelihood estimation: application on cancer events","volume":"8","author":"Rondeau","year":"2007","journal-title":"Biostatistics"}],"container-title":["The Journal of Thoracic and Cardiovascular Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S002252232600913X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S002252232600913X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T10:25:48Z","timestamp":1791973548000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S002252232600913X"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5]]},"references-count":33,"alternative-id":["S002252232600913X"],"URL":"https:\/\/doi.org\/10.1016\/j.jtcvs.2026.04.024","relation":{},"ISSN":["0022-5223"],"issn-type":[{"value":"0022-5223","type":"print"}],"subject":[],"published":{"date-parts":[[2026,5]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Long-term echocardiographic and clinical outcomes after aortic root replacement in patients with Marfan syndrome","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.2026.04.024","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 by The American Association for Thoracic Surgery","name":"copyright","label":"Copyright"}]}}