{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T03:47:28Z","timestamp":1781754448469,"version":"3.54.5"},"reference-count":13,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2016,9,1]],"date-time":"2016-09-01T00:00:00Z","timestamp":1472688000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["World J Pediatr Congenit Heart Surg"],"published-print":{"date-parts":[[2016,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Consensus is lacking regarding the optimal operation for transposition, ventricular septal defect, and pulmonary stenosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Between 1968 and 2012, a total of 76 patients underwent the Rastelli procedure, with 52 mid- or long-term survivors. A bracketing analysis was used to estimate the likelihood of late left ventricular outflow tract obstruction (LVOTO).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Early mortality decreased over the period of study, with no hospital mortality since 2000. Among one year survivors, 10- and 20-year survival was 90% and 72%, respectively. Freedom from reoperation for LVOTO was 87% at 20 years, with no increase in risk among patients having the procedure before 5 years of age. Available late echocardiographic or catheterization data indicated mild or no LVOTO at a median of 14.3 years in a subset of 38 patients. Estimated freedom from major LVOTO at 20 years is bracketed between the estimate of 87% freedom from reoperation for LVOTO at 20 years and the 78% freedom from reoperation for LVOTO or cardiac death by 20 years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The Rastelli operation can be performed in the current era with an early mortality that approaches 0% and with 20-year survival that exceeds 70%. The late risk of important LVOTO appears to range from about 13% to 22% at 20 years, with no increase in risk among patients operated upon before the age of 5 years.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/2150135116661276","type":"journal-article","created":{"date-parts":[[2016,9,1]],"date-time":"2016-09-01T17:34:59Z","timestamp":1472751299000},"page":"605-610","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Late Left Ventricular Outflow Tract Obstruction Following the Rastelli Operation"],"prefix":"10.1177","volume":"7","author":[{"given":"David C.","family":"Cleveland","sequence":"first","affiliation":[{"name":"Division of Cardiothoracic Surgery, Department of Surgery; University of Alabama at Birmingham, Birmingham, AL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James K.","family":"Kirklin","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic Surgery, Department of Surgery; University of Alabama at Birmingham, Birmingham, AL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jozef W.","family":"Pavnica","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic Surgery, Department of Surgery; University of Alabama at Birmingham, Birmingham, AL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaret A.","family":"Tresler","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic Surgery, Department of Surgery; University of Alabama at Birmingham, Birmingham, AL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manisha","family":"Kukreja","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic Surgery, Department of Surgery; University of Alabama at Birmingham, Birmingham, AL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert J.","family":"Dabal","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic Surgery, Department of Surgery; University of Alabama at Birmingham, Birmingham, AL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayesha S.","family":"Bryant","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic Surgery, Department of Surgery; University of Alabama at Birmingham, Birmingham, AL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kayla D.","family":"Isbell","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic Surgery, Department of Surgery; University of Alabama at Birmingham, Birmingham, AL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robb L.","family":"Romp","sequence":"additional","affiliation":[{"name":"Division of Pediatric Cardiology, Department of Pediatrics, University of Alabama at Birmingham, Birmingham, AL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2016,9,1]]},"reference":[{"issue":"1","key":"bibr1-2150135116661276","first-page":"1","volume":"44","author":"Rastelli GC","year":"1969","journal-title":"Mayo Clin Proc"},{"key":"bibr2-2150135116661276","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)42568-3"},{"key":"bibr3-2150135116661276","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2010.07.057"},{"key":"bibr4-2150135116661276","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2009.03.099"},{"key":"bibr5-2150135116661276","doi-asserted-by":"publisher","DOI":"10.1053\/pcsu.2001.24649"},{"key":"bibr6-2150135116661276","doi-asserted-by":"publisher","DOI":"10.1067\/mtc.2000.108163"},{"key":"bibr7-2150135116661276","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)38962-7"},{"key":"bibr8-2150135116661276","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)38323-0"},{"key":"bibr9-2150135116661276","doi-asserted-by":"publisher","DOI":"10.1080\/01621459.1986.10478314"},{"issue":"5","key":"bibr10-2150135116661276","first-page":"ll13","volume":"90","author":"Rychik J","year":"1994","journal-title":"Circulation"},{"key":"bibr11-2150135116661276","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2010.10.041"},{"key":"bibr12-2150135116661276","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2006.10.016"},{"issue":"220","key":"bibr13-2150135116661276","volume":"2008","author":"Morell VO","year":"2008","journal-title":"Multimed Man Cardiothorac Surg"}],"container-title":["World Journal for Pediatric and Congenital Heart Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2150135116661276","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/2150135116661276","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2150135116661276","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T23:20:13Z","timestamp":1777591213000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/2150135116661276"}},"subtitle":["Expectations Out to 20 Years"],"short-title":[],"issued":{"date-parts":[[2016,9]]},"references-count":13,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2016,9]]}},"alternative-id":["10.1177\/2150135116661276"],"URL":"https:\/\/doi.org\/10.1177\/2150135116661276","relation":{},"ISSN":["2150-1351","2150-136X"],"issn-type":[{"value":"2150-1351","type":"print"},{"value":"2150-136X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,9]]}}}