{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T14:29:15Z","timestamp":1785421755971,"version":"3.56.0"},"reference-count":12,"publisher":"Cambridge University Press (CUP)","issue":"2","license":[{"start":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T00:00:00Z","timestamp":1771891200000},"content-version":"unspecified","delay-in-days":23,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1047951126111287_as1\">\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Double outlet right ventricle is a heterogeneous congenital defect in which both great arteries arise predominantly from the right ventricle. Several operative strategies exist, but contemporary paediatric outcome data have not been systematically synthesised.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1047951126111287_as2\">\n                    <jats:title>Material and methods:<\/jats:title>\n                    <jats:p>A systematic search of PubMed, Embase, Scopus, the Cochrane Library, and medRxiv (2000\u20132025) identified cohort studies and case series including \u226510 children undergoing biventricular repair strategies reported in double outlet right ventricle cohorts, including intraventricular rerouting procedures, root-based realignment techniques, and neonatal pathway operations such as the Yasui procedure. Two reviewers independently screened studies, extracted anatomical and operative data, and assessed risk of bias. Early mortality and 10-year survival were pooled using random-effects models with logit transformation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1047951126111287_as3\">\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Thirteen studies (413 children; median follow-up \u223c7 years) met inclusion criteria. Early mortality ranged from 0% to 6.8%. Pooled early mortality was 2.7% for Rastelli, 3.6% for REV, and 5.8% for Nikaidoh\/Bex operations. Ten-year survival exceeded 90% across all major strategies. Conduit replacement was frequent after Rastelli and Nikaidoh\/Bex repair. REV avoided a conduit but required right ventricular outflow tract reinterventions in about one-quarter of patients. Nikaidoh\/Bex procedures provided durable left ventricular outflow but showed 19\u201335% conduit failure. Yasui repairs achieved excellent neonatal survival but required frequent conduit replacement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1047951126111287_as4\">\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Contemporary double outlet right ventricle repair provides excellent long-term survival with early mortality &lt;6%. Procedure selection should consider ventricular septal defect position, risk of postoperative left ventricular outflow tract obstruction, coronary anatomy, and patient size.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1047951126111287","type":"journal-article","created":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T10:02:12Z","timestamp":1771927332000},"page":"318-324","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Surgical management of double outlet right ventricle with outflow obstruction: a systematic review of biventricular strategies"],"prefix":"10.1017","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-9250-4528","authenticated-orcid":false,"given":"Andrey","family":"Semyashkin","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/059jfth35","id-type":"ROR","asserted-by":"publisher"}],"name":"Klinikum Stuttgart Olgahospital Frauenklinik"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia","family":"Nesteruk","sequence":"additional","affiliation":[{"name":"University Heart Center Freiburg Bad Krozingen"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lotfi","family":"Ben Mime","sequence":"additional","affiliation":[{"name":"University Hospital of the Ruhr University Bochum, Medical Faculty OWL University Bielefeld"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,2,24]]},"reference":[{"key":"S1047951126111287_ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.xjon.2023.06.019"},{"key":"S1047951126111287_ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2010.02.007"},{"key":"S1047951126111287_ref10","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(94)70078-8"},{"key":"S1047951126111287_ref11","doi-asserted-by":"publisher","DOI":"10.1186\/s13019-022-01869-9"},{"key":"S1047951126111287_ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2014.11.014"},{"key":"S1047951126111287_ref6","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezad407"},{"key":"S1047951126111287_ref3","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-021-02538-9"},{"key":"S1047951126111287_ref2","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezad409"},{"key":"S1047951126111287_ref12","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezac560"},{"key":"S1047951126111287_ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2006.10.016"},{"key":"S1047951126111287_ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2011.11.027"},{"key":"S1047951126111287_ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2007.01.061"}],"container-title":["Cardiology in the Young"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1047951126111287","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,3]],"date-time":"2026-07-03T12:36:38Z","timestamp":1783082198000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1047951126111287\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2]]},"references-count":12,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,2]]}},"alternative-id":["S1047951126111287"],"URL":"https:\/\/doi.org\/10.1017\/s1047951126111287","relation":{},"ISSN":["1047-9511","1467-1107"],"issn-type":[{"value":"1047-9511","type":"print"},{"value":"1467-1107","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2]]},"assertion":[{"value":"\u00a9 The Author(s), 2026. Published by Cambridge University Press","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}}]}}