{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T22:33:49Z","timestamp":1793226829091,"version":"4.5.0"},"reference-count":26,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T00:00:00Z","timestamp":1780012800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000274","name":"British Heart Foundation","doi-asserted-by":"publisher","award":["SP\/19\/3\/34678"],"award-info":[{"award-number":["SP\/19\/3\/34678"]}],"id":[{"id":"10.13039\/501100000274","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.jp","jtcvsopen.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["JTCVS Open"],"published-print":{"date-parts":[[2026,8]]},"DOI":"10.1016\/j.xjon.2026.101884","type":"journal-article","created":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T00:10:20Z","timestamp":1780531820000},"page":"101884","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Long-term clinical outcomes in patients aged 50 to 70 years old undergoing surgical aortic valve replacement in the United Kingdom"],"prefix":"10.1016","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3009-5712","authenticated-orcid":false,"given":"Jeremy","family":"Chan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Comanici","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pradeep","family":"Narayan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tim","family":"Dong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gianni D.","family":"Angelini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.xjon.2026.101884_bib1","article-title":"Trend and early outcomes in isolated surgical aortic valve replacement in the United Kingdom","volume":"9","author":"Chan","year":"2022","journal-title":"Front Cardiovasc Med"},{"issue":"2","key":"10.1016\/j.xjon.2026.101884_bib2","doi-asserted-by":"crossref","DOI":"10.1093\/ejcts\/ezaf033","article-title":"Long-term clinical outcomes in patients between the age of 50-70 years receiving biological versus mechanical aortic valve prostheses","volume":"67","author":"Chan","year":"2025","journal-title":"Eur J Cardiothorac Surg"},{"issue":"3","key":"10.1016\/j.xjon.2026.101884_bib3","doi-asserted-by":"crossref","first-page":"706","DOI":"10.1016\/j.jtcvs.2018.10.146","article-title":"Long-term outcomes of mechanical versus biological aortic valve prosthesis: systematic review and meta-analysis","volume":"158","author":"Diaz","year":"2019","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"6","key":"10.1016\/j.xjon.2026.101884_bib4","doi-asserted-by":"crossref","first-page":"1160","DOI":"10.1093\/ejcts\/ezy459","article-title":"Biological or mechanical prostheses for isolated aortic valve replacement in patients aged 50-65 years: the ANDALVALVE study","volume":"55","author":"Rodriguez-Caulo","year":"2019","journal-title":"Eur J Cardiothorac Surg"},{"issue":"18","key":"10.1016\/j.xjon.2026.101884_bib5","doi-asserted-by":"crossref","first-page":"1413","DOI":"10.1136\/heartjnl-2020-316718","article-title":"Endocarditis risk with bioprosthetic and mechanical valves: systematic review and meta-analysis","volume":"106","author":"Anantha-Narayanan","year":"2020","journal-title":"Heart"},{"issue":"8","key":"10.1016\/j.xjon.2026.101884_bib6","doi-asserted-by":"crossref","DOI":"10.1093\/ejcts\/ezaf246","article-title":"Cardiac surgery during and after the pandemic: a retrospective analysis of UK trends and outcomes","volume":"67","author":"Dong","year":"2025","journal-title":"Eur J Cardiothorac Surg"},{"issue":"18","key":"10.1016\/j.xjon.2026.101884_bib7","doi-asserted-by":"crossref","first-page":"1441","DOI":"10.1136\/hrt.2010.194019","article-title":"Cardiac registers: the adult cardiac surgery register","volume":"96","author":"Bridgewater","year":"2010","journal-title":"Heart"},{"key":"10.1016\/j.xjon.2026.101884_bib8","series-title":"National Clinical Coding Standards ICD-10","year":"2023"},{"issue":"6","key":"10.1016\/j.xjon.2026.101884_bib9","doi-asserted-by":"crossref","first-page":"2459","DOI":"10.1016\/j.jtcvs.2019.10.153","article-title":"Competing risks analysis of time-to-event data for cardiovascular surgeons","volume":"159","author":"Staffa","year":"2020","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"2","key":"10.1016\/j.xjon.2026.101884_bib10","doi-asserted-by":"crossref","DOI":"10.1093\/ejcts\/ezae020","article-title":"Advanced considerations in survival analysis","volume":"65","author":"Carnero-Alcazar","year":"2024","journal-title":"Eur J Cardiothorac Surg"},{"issue":"42","key":"10.1016\/j.xjon.2026.101884_bib11","doi-asserted-by":"crossref","first-page":"2936","DOI":"10.1093\/eurheartj\/ehu131","article-title":"Competing risks analyses: objectives and approaches","volume":"35","author":"Wolbers","year":"2014","journal-title":"Eur Heart J"},{"issue":"13","key":"10.1016\/j.xjon.2026.101884_bib12","doi-asserted-by":"crossref","first-page":"1323","DOI":"10.1001\/jama.2014.12679","article-title":"Survival and long-term outcomes following bioprosthetic vs mechanical aortic valve replacement in patients aged 50 to 69 years","volume":"312","author":"Chiang","year":"2014","journal-title":"JAMA"},{"issue":"2","key":"10.1016\/j.xjon.2026.101884_bib13","doi-asserted-by":"crossref","first-page":"609","DOI":"10.1016\/j.jtcvs.2021.01.118","article-title":"Biological versus mechanical prostheses for aortic valve replacement","volume":"165","author":"Rodriguez-Caulo","year":"2023","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"1","key":"10.1016\/j.xjon.2026.101884_bib15","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1016\/j.athoracsur.2019.10.027","article-title":"Mechanical versus biologic prostheses for surgical aortic valve replacement in patients aged 50 to 70","volume":"110","author":"Kyto","year":"2020","journal-title":"Ann Thorac Surg"},{"issue":"1","key":"10.1016\/j.xjon.2026.101884_bib16","doi-asserted-by":"crossref","DOI":"10.1093\/ejcts\/ezac268","article-title":"Mechanical versus bioprosthetic valve for aortic valve replacement: systematic review and meta-analysis of reconstructed individual participant data","volume":"62","author":"Tasoudis","year":"2022","journal-title":"Eur J Cardiothorac Surg"},{"issue":"34","key":"10.1016\/j.xjon.2026.101884_bib17","doi-asserted-by":"crossref","first-page":"2658","DOI":"10.1093\/eurheartj\/ehv580","article-title":"Aortic valve replacement with mechanical vs. biological prostheses in patients aged 50-69 years","volume":"37","author":"Glaser","year":"2016","journal-title":"Eur Heart J"},{"issue":"4","key":"10.1016\/j.xjon.2026.101884_bib18","doi-asserted-by":"crossref","first-page":"1234","DOI":"10.1016\/j.jtcvs.2024.06.029","article-title":"Mechanical or biological prosthesis for aortic valve replacement in patients aged 45 to 74 years","volume":"169","author":"Sun","year":"2025","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"5","key":"10.1016\/j.xjon.2026.101884_bib19","first-page":"e35","article-title":"2020 ACC\/AHA guideline for the management of patients with valvular heart disease: executive summary: a report of the American College of Cardiology\/American Heart Association Joint Committee on Clinical Practice Guidelines","volume":"143","author":"Otto","year":"2021","journal-title":"Circulation"},{"issue":"4","key":"10.1016\/j.xjon.2026.101884_bib20","doi-asserted-by":"crossref","first-page":"1056","DOI":"10.1016\/j.jtcvs.2021.12.027","article-title":"Infective endocarditis after surgical aortic or mitral valve replacement: a nationwide population-based study","volume":"166","author":"Lee","year":"2023","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"5","key":"10.1016\/j.xjon.2026.101884_bib22","doi-asserted-by":"crossref","first-page":"1077","DOI":"10.1093\/ejcts\/ezaa429","article-title":"Aortic valve replacement with biological prosthesis in patients aged 50-69 years","volume":"59","author":"Malvindi","year":"2021","journal-title":"Eur J Cardiothorac Surg"},{"issue":"45","key":"10.1016\/j.xjon.2026.101884_bib23","doi-asserted-by":"crossref","first-page":"3370","DOI":"10.1093\/eurheartj\/ehx199","article-title":"Mechanical aortic valve replacement in non-elderly adults: meta-analysis and microsimulation","volume":"38","author":"Korteland","year":"2017","journal-title":"Eur Heart J"},{"issue":"17","key":"10.1016\/j.xjon.2026.101884_bib24","doi-asserted-by":"crossref","first-page":"2193","DOI":"10.1016\/j.jacc.2017.02.051","article-title":"Bioprosthetic valve thrombosis","volume":"69","author":"Puri","year":"2017","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.xjon.2026.101884_bib25","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.ahj.2016.06.026","article-title":"Incidence and risk factors for thromboembolism and major bleeding in patients with mechanical valve prosthesis: a nationwide population-based study","volume":"181","author":"Labaf","year":"2016","journal-title":"Am Heart J"},{"issue":"8","key":"10.1016\/j.xjon.2026.101884_bib26","doi-asserted-by":"crossref","first-page":"805","DOI":"10.1016\/j.jacc.2021.11.057","article-title":"Propensity-matched comparison of the ross procedure and prosthetic aortic valve replacement in adults","volume":"79","author":"El-Hamamsy","year":"2022","journal-title":"J Am Coll Cardiol"},{"issue":"4","key":"10.1016\/j.xjon.2026.101884_bib27","doi-asserted-by":"crossref","first-page":"499","DOI":"10.21037\/acs-2021-rp-fs-28","article-title":"Long-term outcomes of the Ross procedure in adults","volume":"10","author":"Ryan","year":"2021","journal-title":"Ann Cardiothorac Surg"},{"issue":"5","key":"10.1016\/j.xjon.2026.101884_bib28","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"}],"container-title":["JTCVS Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2666273626003074?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2666273626003074?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T22:14:57Z","timestamp":1793225697000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2666273626003074"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":26,"alternative-id":["S2666273626003074"],"URL":"https:\/\/doi.org\/10.1016\/j.xjon.2026.101884","relation":{},"ISSN":["2666-2736"],"issn-type":[{"value":"2666-2736","type":"print"}],"subject":[],"published":{"date-parts":[[2026,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Long-term clinical outcomes in patients aged 50 to 70 years old undergoing surgical aortic valve replacement in the United Kingdom","name":"articletitle","label":"Article Title"},{"value":"JTCVS Open","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.xjon.2026.101884","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Author(s). Published by Elsevier Inc. on behalf of The American Association for Thoracic Surgery.","name":"copyright","label":"Copyright"}],"article-number":"101884"}}