{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T17:20:38Z","timestamp":1791825638607,"version":"4.3.4"},"reference-count":12,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2006,12,1]],"date-time":"2006-12-01T00:00:00Z","timestamp":1164931200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Asian Cardiovasc Thorac Ann"],"published-print":{"date-parts":[[2006,12]]},"abstract":"<jats:p>From March 1998 to December 2004, 16 acyanotic patients aged 2 to 22 years (mean, 7 \u00b1 5.7 years) with a large ventricular septal defect and elevated pulmonary vascular resistance (9.6 \u00b1 3.8 Wood units) underwent surgery. A Gore-Tex patch with a 5\u20138 mm longitudinal slit in the center was used. A piece of pericardium was sewn around the slit on one side of the patch, except for the upper quarter. In all patients, the defect was closed with a trimmed patch and the pericardial aspect was placed on the left ventricular side to allow right-to-left shunting. Echocardiography on the day of operation revealed a right-to-left shunt in 6 cases. Two patients (12.5%) died in the early postoperative period due to frequent episodes of pulmonary hypertensive crisis and persistent severe pulmonary hypertension. In 3 years of follow-up, pulmonary vascular resistance gradually decreased in all but one patient in whom it increased with a right-to-left shunt and cyanosis. Insertion of a valved patch seems to be a promising technique to decrease morbidity and mortality in severe pulmonary arterial hypertension.<\/jats:p>","DOI":"10.1177\/021849230601400612","type":"journal-article","created":{"date-parts":[[2013,5,6]],"date-time":"2013-05-06T09:37:22Z","timestamp":1367833042000},"page":"501-504","source":"Crossref","is-referenced-by-count":9,"title":["Valved Patch for Ventricular Septal Defect with Pulmonary Arterial Hypertension"],"prefix":"10.1177","volume":"14","author":[{"given":"Abbas","family":"Afrasiabi","sequence":"first","affiliation":[{"name":"Cardiovascular Research Center, Madani Heart Hospital, University of Medical Sciences, Tabriz, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahmoud","family":"Samadi","sequence":"additional","affiliation":[{"name":"Cardiovascular Research Center, Madani Heart Hospital, University of Medical Sciences, Tabriz, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hossein","family":"Montazergaem","sequence":"additional","affiliation":[{"name":"Cardiovascular Research Center, Madani Heart Hospital, University of Medical Sciences, Tabriz, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2006,12,1]]},"reference":[{"key":"bibr1-021849230601400612","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.69.4.655"},{"key":"bibr2-021849230601400612","first-page":"533","volume":"661","author":"Novick WM","year":"1998","journal-title":"Ann Thorac Surg"},{"key":"bibr3-021849230601400612","first-page":"851","volume-title":"Cardiac surgery","author":"Kouchoukos NT","year":"2003","edition":"3"},{"key":"bibr4-021849230601400612","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)43392-8"},{"key":"bibr5-021849230601400612","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)40820-9"},{"key":"bibr6-021849230601400612","doi-asserted-by":"publisher","DOI":"10.1016\/0003-4975(95)00703-N"},{"key":"bibr7-021849230601400612","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2004.06.107"},{"key":"bibr8-021849230601400612","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)39614-X"},{"key":"bibr9-021849230601400612","first-page":"161","volume":"55","author":"Kannan BR","year":"2003","journal-title":"Indian Heart J"},{"key":"bibr10-021849230601400612","doi-asserted-by":"publisher","DOI":"10.1016\/0003-4975(93)91201-W"},{"key":"bibr11-021849230601400612","doi-asserted-by":"publisher","DOI":"10.1016\/0003-4975(93)90023-B"},{"key":"bibr12-021849230601400612","doi-asserted-by":"publisher","DOI":"10.1016\/0003-4975(94)90381-6"}],"container-title":["Asian Cardiovascular and Thoracic Annals"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/021849230601400612","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/021849230601400612","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/021849230601400612","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T15:12:50Z","timestamp":1777389170000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/021849230601400612"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2006,12]]},"references-count":12,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2006,12]]}},"alternative-id":["10.1177\/021849230601400612"],"URL":"https:\/\/doi.org\/10.1177\/021849230601400612","relation":{},"ISSN":["0218-4923","1816-5370"],"issn-type":[{"value":"0218-4923","type":"print"},{"value":"1816-5370","type":"electronic"}],"subject":[],"published":{"date-parts":[[2006,12]]}}}