{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T09:10:16Z","timestamp":1779268216261,"version":"3.51.4"},"reference-count":5,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T00:00:00Z","timestamp":1776124800000},"content-version":"vor","delay-in-days":1,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,5,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Background: Uncorrected supracristal ventricular septal defect (VSD) in an elderly patient is rare and is often complicated by aortic regurgitation, multivalvular disease, and arrhythmias.<\/jats:p>\n                  <jats:p>Case summary: We present an elderly female with supracristal VSD, chronic atrial fibrillation, and multivalvular disease. A transaortic approach enabled direct visualization and secure patch closure through the same aortotomy used for aortic valve replacement. Concomitant mitral valve replacement, tricuspid annuloplasty, and a Maze procedure with left atrial volume reduction were performed.<\/jats:p>\n                  <jats:p>Conclusion: This case demonstrates the transaortic approach as an effective strategy for combined VSD and valve surgery in elderly patients.<\/jats:p>","DOI":"10.1093\/icvts\/ivag113","type":"journal-article","created":{"date-parts":[[2026,4,12]],"date-time":"2026-04-12T11:36:11Z","timestamp":1775993771000},"source":"Crossref","is-referenced-by-count":0,"title":["Surgical Repair of Supracristal Ventricular Septal Defect With Combined Multivalvular Disease in an Elderly Patient: A Transaortic Approach"],"prefix":"10.1093","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1823-5962","authenticated-orcid":false,"given":"Shinji","family":"Kanemitsu","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, Anjo Kosei Hospital , Anjo, Aichi 446-8602,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Satoshi","family":"Maruyama","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Anjo Kosei Hospital , Anjo, Aichi 446-8602,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takato","family":"Yamasaki","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Anjo Kosei Hospital , Anjo, Aichi 446-8602,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Koh","family":"Kajiyama","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Anjo Kosei Hospital , Anjo, Aichi 446-8602,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2026,4,13]]},"reference":[{"key":"2026052004463512600_ivag113-B1","doi-asserted-by":"crossref","first-page":"563","DOI":"10.1093\/eurheartj\/ehaa554","article-title":"2020 ESC guidelines for the management of adult congenital heart disease","volume":"42","author":"Baumgartner","year":"2021","journal-title":"Eur Heart J"},{"key":"2026052004463512600_ivag113-B2","doi-asserted-by":"crossref","first-page":"540","DOI":"10.1016\/S0002-9149(00)01009-2","article-title":"Evolution of aortic regurgitation following simple patch closure of doubly committed subarterial ventricular septal defect","volume":"86","author":"Tomita","year":"2000","journal-title":"Am J Cardiol"},{"key":"2026052004463512600_ivag113-B3","doi-asserted-by":"crossref","first-page":"250","DOI":"10.1177\/096721099600400227","article-title":"Transaortic approach has a role in the surgical treatment of ventricular septal defects","volume":"4","author":"Le\u00e3o","year":"1996","journal-title":"Cardiovasc Surg"},{"key":"2026052004463512600_ivag113-B4","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1016\/j.athoracsur.2016.10.076","article-title":"The society of thoracic surgeons 2017 clinical practice guidelines for the surgical treatment of atrial fibrillation","volume":"103","author":"Badhwar","year":"2017","journal-title":"Ann Thorac Surg"},{"key":"2026052004463512600_ivag113-B5","doi-asserted-by":"crossref","first-page":"1297","DOI":"10.1016\/j.jtcvs.2008.02.026","article-title":"Impact of left atrial volume reduction concomitant with atrial fibrillation surgery on left atrial geometry and mechanical function","volume":"135","author":"Marui","year":"2008","journal-title":"J Thorac Cardiovasc Surg"}],"container-title":["Interdisciplinary CardioVascular and Thoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/icvts\/advance-article-pdf\/doi\/10.1093\/icvts\/ivag113\/68077614\/ivag113.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/icvts\/article-pdf\/41\/5\/ivag113\/68077614\/ivag113.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/icvts\/article-pdf\/41\/5\/ivag113\/68077614\/ivag113.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T08:46:43Z","timestamp":1779266803000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/icvts\/article\/doi\/10.1093\/icvts\/ivag113\/8653737"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,13]]},"references-count":5,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,5,5]]}},"URL":"https:\/\/doi.org\/10.1093\/icvts\/ivag113","relation":{},"ISSN":["2753-670X"],"issn-type":[{"value":"2753-670X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,5]]},"published":{"date-parts":[[2026,4,13]]},"article-number":"ivag113"}}