{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T23:57:37Z","timestamp":1785455857546,"version":"3.56.0"},"reference-count":27,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T00:00:00Z","timestamp":1763683200000},"content-version":"vor","delay-in-days":20,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Echocardiography"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The importance of right ventricular (RV) function assessment has been a hot topic in cardiac surgery, and perioperative RV function is known to determine the outcome of cardiac surgery. However, RV echocardiographic assessment is challenging due to RV geometric changes. Currently, a 3D\u2010derived RV assessment is recommended.<\/jats:p>\n                    <jats:p>Previous studies have shown that RV function is reduced more in surgical aortic valve replacement (SAVR) than in transcatheter aortic valve replacement (TAVR); however, RV assessment in these studies was mostly performed using 2\u2010dimensional echocardiography. Moreover, very few studies have assessed the difference in RV function between full sternotomy (full\u2010SAVR) and mini\u2010sternotomy AVR (mini\u2010SAVR). This study assessed RV function in three types of AVR using 3D RV ejection fraction (RVEF), tricuspid annular plane systolic excursion (TAPSE), and RV fractional area change (RVFAC).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This is a prospective, observational study at a university hospital setting. Participants are adult patients who underwent TAVR, mini\u2010SAVR, and full\u2010SAVR.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurements and Main Results<\/jats:title>\n                    <jats:p>\n                      Sixty\u2010seven patients were enrolled in this study (22, 22, and 23 patients in the TAVR, mini\u2010SAVR, and full\u2010SAVR groups, respectively). The % change (pre\u2010 and post\u2010procedure) in 3D RVEF, RVFAC, and TPASE in TAVR, mini\u2010SAVR, and full\u2010SAVR were as follows: 3D RVEF: 4.51 \u00b1 10.89 (TAVR), \u221213.67 \u00b1 19.81 (mini\u2010SAVR), and \u22128.36 \u00b1 18.24 (full\u2010SAVR) (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.003). RVFAC: 4.35 \u00b1 12.33 (TAVR), \u22128.28 \u00b1 23.88 (mini\u2010SAVR), and \u22129.49 \u00b1 20.92 (full\u2010SAVR) (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001). TAPSE: 10.46 \u00b1 24.17 (TAVR), \u221222.14 \u00b1 32.48 (mini\u2010SAVR), and \u221232.48 \u00b1 31.81 (full\u2010SAVR) (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001). Comparisons were adjusted for age, gender, central venous pressure, catecholamine amount, and each preoperative RV index.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>There was significantly more worsening of 3D RVEF, RVFAC and TAPSE after full\u2010SAVR and mini\u2010SAVR than after TAVR.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/echo.70357","type":"journal-article","created":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T14:12:41Z","timestamp":1763734361000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparison of Right Ventricular Function Between Full Sternotomy Aortic Valve Replacement, Mini\u2010Sternotomy Aortic Valve Replacement, and Transcatheter Aortic Valve Replacement: A Prospective, Observational Study"],"prefix":"10.1111","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2555-1004","authenticated-orcid":false,"given":"Yoshihisa","family":"Morita","sequence":"first","affiliation":[{"name":"Department of Anesthesiology Thomas Jefferson University  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taro","family":"Kariya","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology University of Tokyo  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda","family":"Sundt","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Thomas Jefferson University  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomoki","family":"Sakata","sequence":"additional","affiliation":[{"name":"Department of Surgery Thomas Jefferson University  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuki","family":"Nakamura","sequence":"additional","affiliation":[{"name":"Department of Surgery Thomas Jefferson University  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuta","family":"Kikuchi","sequence":"additional","affiliation":[{"name":"Department of Surgery Thomas Jefferson University  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daisuke","family":"Kaneyuki","sequence":"additional","affiliation":[{"name":"Department of Surgery Independence Health System  Butler Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Douglas","family":"Pfeil","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Thomas Jefferson University  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacob","family":"Raphael","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Thomas Jefferson University  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,11,21]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.echo.2010.05.010"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.echo.2014.10.003"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10554\u2010018\u20101428\u20108"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1213\/ane.0b013e31818f8623"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1213\/ane.0b013e31818d8b92"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2018.01.117"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehy251"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezv227"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/icvts\/ivx422"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/openhrt\u20102018\u2010000842"},{"key":"e_1_2_10_12_1","unstructured":"4D Auto RVQ.GE Healthcare. 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