{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T19:25:39Z","timestamp":1777663539973,"version":"3.51.4"},"reference-count":28,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T00:00:00Z","timestamp":1775779200000},"content-version":"vor","delay-in-days":9,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Postoperative stenosis negatively affects durability after bicuspid aortic valve (BAV) valvuloplasty. This study was performed to evaluate the haemodynamic efficacy of sinus plication (SP) to avoid stenosis after asymmetrical BAV repair.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Between 2018 and 2023, 41 patients with BAV (33.3\u2009\u00b1\u200911.5\u2009years, 40 males) with moderate-severe aortic regurgitation (AR) underwent aortic valve repair with (SP group, n\u2009=\u200914) or without (NSP group, n\u2009=\u200927) SP. SP was performed to reduce the circumference of the fused sinus and restore sinus contour symmetry. Preoperative and postoperative haemodynamic parameters were assessed at discharge and 1\u2009year using transthoracic echocardiography.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>No deaths occurred within 1\u2009year after surgery in either group. AR was well controlled and adequate left ventricular reverse remodelling was observed in both the groups up to 1\u2009year postoperatively. At 1\u2009year, lower transvalvular peak pressure gradient (PG) and maximum transvalvular flow velocity (Vmax) were observed in the SP group (peak PG: 17.7\u2009\u00b1\u20095.5\u2009mmHg; % change \u22128.8%\u2009\u00b1\u20091.1%, Vmax: 1.9\u2009\u00b1\u20090.31\u2009m\/s; % change \u221213.1%\u2009\u00b1\u20092.1%) compared with the NSP group (peak PG: 24.7\u2009\u00b1\u20099.6\u2009mmHg; +8.8%\u2009\u00b1\u20091.3%, Vmax: 2.58\u2009\u00b1\u20090.62\u2009m\/s; +9.3%\u2009\u00b1\u20092.5%), while there were no clear differences in % changes of peak PG or Vmax between the groups after adjustment for covariates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In BAV repair, SP was potentially associated with lower peak PG and Vmax at 1\u2009year. These findings suggest that SP may enhance haemodynamic stability in BAV repair.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/icvts\/ivag103","type":"journal-article","created":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T11:46:44Z","timestamp":1775735204000},"source":"Crossref","is-referenced-by-count":0,"title":["Haemodynamic Early Outcomes of Sinus Plication for Bicuspid Aortic Valve Repair"],"prefix":"10.1093","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2199-0296","authenticated-orcid":false,"given":"Kay","family":"Maeda","sequence":"first","affiliation":[{"name":"Department of Cardiac Surgery, The Jikei University School of Medicine , Tokyo, 105-8461,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nao","family":"Ichihara","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, The Jikei University School of Medicine , Tokyo, 105-8461,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toshio","family":"Baba","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Bellland General Hospital , Sakai, 599-8247,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9149-5736","authenticated-orcid":false,"given":"Tomonobu","family":"Abe","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Surgery, Department of General Surgical Science, Gunma University , Maebashi, 371-8511,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Atsushi","family":"Yamaguchi","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Saitama Medical Center, Jichi Medical University , Saitama, 330-8503,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dai","family":"Une","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Kawasaki Medical School , Okayama, 701-0192,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mikizou","family":"Nakai","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, National Hospital Organization Okayama Medical Center , Okayama, 701-1192,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroshi","family":"Matsuura","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, NTT Higashi Nihon Sapporo Hospital , Sapporo, 060-0061,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takeshiro","family":"Fujii","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Surgery, Department of Surgery, Toho 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