{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T12:26:44Z","timestamp":1793622404117,"version":"4.5.0"},"reference-count":12,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100010731","name":"Faculty of Medicine, Chiang Mai University","doi-asserted-by":"publisher","award":["RG 12\/2566"],"award-info":[{"award-number":["RG 12\/2566"]}],"id":[{"id":"10.13039\/501100010731","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Innovations&amp;#65533;(Phila)"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>Redo pulmonary valve replacement (PVR) in patients with prior tetralogy of Fallot (TOF) repair is surgically challenging. This study aimed to compare the clinical outcomes of the left anterior minithoracotomy (LAT) approach with the traditional resternotomy approach for PVR.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      A retrospective analysis was conducted on 38 TOF patients who underwent redo PVR, categorized into LAT (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 20) and resternotomy (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 18) groups. Patients requiring concomitant valvular surgeries or repair of residual intracardiac shunts were excluded. We compared demographics, operative details, and postoperative outcomes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Baseline demographics were comparable between groups, except for a higher proportion of males in the LAT group (75% vs 38.9%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.047). The LAT approach demonstrated nonsignificant favorable trends, including shorter operative times (157.05 \u00b1 49.42 vs 178.06 \u00b1 58.69 min,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.239) and shorter postoperative hospital stays (4.75 \u00b1 1.21 vs 6.17 \u00b1 4.38 days,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.173). Vasoactive-inotropic scores were significantly lower in the LAT group both immediately postoperatively (0.05 \u00b1 0.22 vs 4.36 \u00b1 6.95,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.009) and on postoperative day 1 (0 vs 2.17 \u00b1 4.52,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.039). Postoperative complications, such as atrial fibrillation and pleural effusion, were similar between groups. There was no mortality in either group.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The LAT approach for PVR after TOF repair is a safe alternative to resternotomy. Comprehensive preoperative imaging evaluation is crucial for determining the optimal incision site. Further studies with larger cohorts are needed to confirm the potential benefits of this approach.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15569845261477377","type":"journal-article","created":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T04:30:36Z","timestamp":1792038636000},"page":"377-382","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparative Outcomes of Left Anterior Thoracotomy Versus Resternotomy for Pulmonic Valve Replacement After Tetralogy of Fallot Repair"],"prefix":"10.1177","volume":"21","author":[{"given":"Noppon","family":"Taksaudom","sequence":"first","affiliation":[{"name":"Cardiovascular Surgery Unit, Department of Surgery, Faculty of Medicine, Chiang Mai University, Thailand"},{"name":"Clinical Surgical Research Center, Chiang Mai University, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0015-411X","authenticated-orcid":false,"given":"Amarit","family":"Phothikun","sequence":"additional","affiliation":[{"name":"Cardiovascular Surgery Unit, Department of Surgery, Faculty of Medicine, Chiang Mai University, Thailand"},{"name":"Clinical Surgical Research Center, Chiang Mai University, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jakaparn","family":"Horsatidkul","sequence":"additional","affiliation":[{"name":"Cardiovascular Surgery Unit, Department of Surgery, Faculty of Medicine, Chiang Mai University, Thailand"},{"name":"Clinical Surgical Research Center, Chiang Mai University, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thitipong","family":"Thepsuwan","sequence":"additional","affiliation":[{"name":"Cardiovascular Surgery Unit, Department of Surgery, Faculty of Medicine, Chiang Mai University, Thailand"},{"name":"Clinical Surgical Research Center, Chiang Mai University, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Surin","family":"Woragidpoonpol","sequence":"additional","affiliation":[{"name":"Cardiovascular Surgery Unit, Department of Surgery, Faculty of Medicine, Chiang Mai University, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,14]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.21037\/jtd-20-1475"},{"key":"e_1_3_3_3_2","article-title":"Pulmonary valve replacement timing following initial tetralogy of Fallot repair: a systematic review","volume":"15","author":"Slouha E","year":"2023","unstructured":"Slouha E, Trygg G, Tariq AH, et al. Pulmonary valve replacement timing following initial tetralogy of Fallot repair: a systematic review. Cureus 2023; 15: e49577.","journal-title":"Cureus"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2022.864455"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11748-018-0931-0"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2011.03.102"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/1556984520911025"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2011.05.064"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13019-024-02817-5"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951122000105"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.113.005878"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.jvca.2020.09.117"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1002\/hsr2.702"}],"container-title":["Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15569845261477377","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15569845261477377","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15569845261477377","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T11:42:16Z","timestamp":1793619736000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15569845261477377"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":12,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1177\/15569845261477377"],"URL":"https:\/\/doi.org\/10.1177\/15569845261477377","relation":{},"ISSN":["1556-9845","1559-0879"],"issn-type":[{"value":"1556-9845","type":"print"},{"value":"1559-0879","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7]]}}}