{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T19:15:49Z","timestamp":1788030949178,"version":"build-2784847793"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"Angelo and Lorenza DeGasperis Chair for Cardiovascular Research at University Health Network"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,8,3]]},"DOI":"10.1093\/ejcts\/ezag201","type":"journal-article","created":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T11:14:23Z","timestamp":1785323663000},"source":"Crossref","is-referenced-by-count":0,"title":["Long-Term Outcomes of Mechanical Versus Bioprosthetic Mitral Valve Replacement: A 25-Year Province-Wide Cohort Study"],"prefix":"10.1093","volume":"68","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6240-0120","authenticated-orcid":false,"given":"Luke J","family":"Rogers","sequence":"first","affiliation":[{"name":"Academic Cardiovascular Unit, South Tees Hospitals NHS Foundation Trust, Middlesbrough, TS43BW ,","place":["United Kingdom"]},{"name":"Hull York Medical School, University of York Campus (Main Campus), York, YO10 5DD ,","place":["United Kingdom"]},{"name":"Hull York Medical School, University of Hull Campus, Hull, HU6 7RX, United Kingdom"},{"name":"Peter Munk Cardiac Centre, Toronto General Hospital, University Health Network , Toronto, Ontario M5G 2C4,","place":["Canada"]},{"name":"Division of Cardiovascular Surgery, Department of Surgery, University of Toronto , Toronto, Ontario M5T 1P5,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3060-7108","authenticated-orcid":false,"given":"Derrick Y","family":"Tam","sequence":"additional","affiliation":[{"name":"Division of Cardiac Surgery, Schulich Heart Program, Sunnybrook Health Sciences Centre , North York, Ontario, M4N 3M5,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Chu","sequence":"additional","affiliation":[{"name":"ICES, Sunnybrook Health Sciences Centre , Toronto, Ontario M4N 3M5,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Douglas S","family":"Lee","sequence":"additional","affiliation":[{"name":"Peter Munk Cardiac Centre, Toronto General Hospital, University Health Network , Toronto, Ontario M5G 2C4,","place":["Canada"]},{"name":"ICES, Sunnybrook Health Sciences Centre , Toronto, Ontario M4N 3M5,","place":["Canada"]},{"name":"Ted Rogers Centre for Heart Research , Toronto, Ontario M5G 1M1,","place":["Canada"]},{"name":"Department of Medicine, University of Toronto , Toronto, Ontario M5S 3H2,","place":["Canada"]},{"name":"Institute of Health Policy, Management, and Evaluation, University of Toronto , Toronto, Ontario, M5T 3M6,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-0881-3115","authenticated-orcid":false,"given":"Terrence M","family":"Yau","sequence":"additional","affiliation":[{"name":"Peter Munk Cardiac Centre, Toronto General Hospital, University Health Network , Toronto, Ontario M5G 2C4,","place":["Canada"]},{"name":"Division of Cardiovascular Surgery, Department of Surgery, University of Toronto , Toronto, Ontario M5T 1P5,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1676-8052","authenticated-orcid":false,"given":"Tirone E","family":"David","sequence":"additional","affiliation":[{"name":"Peter Munk Cardiac Centre, Toronto General Hospital, University Health Network , Toronto, Ontario M5G 2C4,","place":["Canada"]},{"name":"Division of Cardiovascular Surgery, Department of Surgery, University of Toronto , Toronto, Ontario M5T 1P5,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1967-8949","authenticated-orcid":false,"given":"Piroze M","family":"Davierwala","sequence":"additional","affiliation":[{"name":"Peter Munk Cardiac Centre, Toronto General Hospital, University Health Network , Toronto, Ontario M5G 2C4,","place":["Canada"]},{"name":"Division of Cardiovascular Surgery, Department of Surgery, University of Toronto , Toronto, Ontario M5T 1P5,","place":["Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,8,29]]},"reference":[{"key":"2026082914290974900_ezag201-B1","doi-asserted-by":"crossref","first-page":"719","DOI":"10.1016\/S0735-1097(87)80263-2","article-title":"Comparison of outcome after valve replacement with a bioprosthesis versus a mechanical prosthesis: initial 5 year results of a randomized trial","volume":"10","author":"Hammermeister","year":"1987","journal-title":"J Am Coll Cardiol"},{"key":"2026082914290974900_ezag201-B2","doi-asserted-by":"crossref","first-page":"1847","DOI":"10.1056\/NEJMoa1613792","article-title":"Mechanical or biologic prostheses for aortic-valve and mitral-valve replacement","volume":"377","author":"Goldstone","year":"2017","journal-title":"N Engl J Med"},{"key":"2026082914290974900_ezag201-B3","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1007\/s11748-023-01956-1","article-title":"Bioprosthetic versus mechanical valves for mitral valve replacement in patients < 70 years: an updated pairwise meta-analysis","volume":"72","author":"Ahmed","year":"2024","journal-title":"Gen Thorac Cardiovasc Surg"},{"key":"2026082914290974900_ezag201-B4","doi-asserted-by":"crossref","first-page":"701","DOI":"10.1002\/clc.23854","article-title":"Mechanical or biologic prostheses for mitral valve replacement: a systematic review and meta-analysis","volume":"45","author":"Yu","year":"2022","journal-title":"Clin Cardiol"},{"key":"2026082914290974900_ezag201-B5","doi-asserted-by":"crossref","first-page":"573","DOI":"10.1056\/NEJM199102283240901","article-title":"Twelve-year comparison of a Bjork\u2013Shiley mechanical heart valve with porcine bioprostheses","volume":"324","author":"Bloomfield","year":"1991","journal-title":"N Engl J Med"},{"key":"2026082914290974900_ezag201-B6","doi-asserted-by":"crossref","first-page":"1152","DOI":"10.1016\/S0735-1097(00)00834-2","article-title":"Outcomes 15 years after valve replacement with a mechanical versus a bioprosthetic valve: final report of the Veterans Affairs randomized trial","volume":"36","author":"Hammermeister","year":"2000","journal-title":"J Am Coll Cardiol"},{"key":"2026082914290974900_ezag201-B7","doi-asserted-by":"crossref","first-page":"715","DOI":"10.1136\/heart.89.7.715","article-title":"Twenty year comparison of a Bjork-Shiley mechanical heart valve with porcine bioprostheses","volume":"89","author":"Oxenham","year":"2003","journal-title":"Heart"},{"key":"2026082914290974900_ezag201-B8","doi-asserted-by":"crossref","first-page":"1435","DOI":"10.1001\/jama.2015.3164","article-title":"Survival and outcomes following bioprosthetic vs mechanical mitral valve replacement in patients aged 50 to 69 years","volume":"313","author":"Chikwe","year":"2015","journal-title":"JAMA"},{"key":"2026082914290974900_ezag201-B9","doi-asserted-by":"crossref","DOI":"10.1093\/ejcts\/ezae245","article-title":"Long-term outcomes of isolated mechanical versus bioprosthetic mitral valve replacement in different age groups of propensity-matched patients","volume":"66","author":"Rokui","year":"2024","journal-title":"European Journal of Cardio-Thoracic Surgery"},{"key":"2026082914290974900_ezag201-B10","doi-asserted-by":"crossref","first-page":"818","DOI":"10.1111\/jocs.14478","article-title":"Mitral valve prosthesis choice in patients <70 years: a systematic review and meta-analysis of 20\u2009219 patients","volume":"35","author":"Yanagawa","year":"2020","journal-title":"J Card Surg"}],"container-title":["European Journal of Cardio-Thoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ejcts\/article-pdf\/68\/8\/ezag201\/70870076\/ezag201.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ejcts\/article-pdf\/68\/8\/ezag201\/70870076\/ezag201.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T18:29:16Z","timestamp":1788028156000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ejcts\/article\/doi\/10.1093\/ejcts\/ezag201\/8776064"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":10,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2026,8,3]]}},"URL":"https:\/\/doi.org\/10.1093\/ejcts\/ezag201","relation":{},"ISSN":["1010-7940","1873-734X"],"issn-type":[{"value":"1010-7940","type":"print"},{"value":"1873-734X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,8]]},"published":{"date-parts":[[2026,8]]},"article-number":"ezag201"}}