{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T14:12:22Z","timestamp":1780927942057,"version":"3.54.1"},"reference-count":18,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2025,12,3]],"date-time":"2025-12-03T00:00:00Z","timestamp":1764720000000},"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":[[2026,7]]},"abstract":"<jats:p>\n                    <jats:bold>Introduction:<\/jats:bold>\n                    Right ventricular outflow tract (RVOT) reconstruction in congenital heart diseases such as tetralogy of Fallot (TOF) often requires a transannular patch, which can lead to postoperative pulmonary regurgitation (PR). Persistent PR may result in significant complications, including right ventricular (RV) dysfunction, arrhythmias, and the need for reintervention. The use of autologous right atrial appendage (RAA) tissue to create a functional neovalve has emerged as a promising alternative.\n                    <jats:bold>Methods:<\/jats:bold>\n                    Twelve pediatric patients who underwent RVOT reconstruction with an RAA neovalve between July 2023 and March 2025 were retrospectively evaluated. Demographic, surgical, and echocardiographic data were analyzed to assess early clinical outcomes.\n                    <jats:bold>Results:<\/jats:bold>\n                    The median age at surgery was eight months (IQR: 6-11), with a median weight of 7.1\u2005kg (range: 5.7-16). Primary diagnoses included TOF (n\u2009=\u20099), TOF with pulmonary atresia (n\u2009=\u20092), and absent pulmonary valve (n\u2009=\u20091). No in-hospital mortality occurred. Predischarge echocardiography showed no or trivial PR in eight patients and mild PR in four patients. At a mean follow-up of 12.8 months, all patients exhibited either no or mild PR, and RV function remained normal. No patient required reintervention.\n                    <jats:bold>Conclusion:<\/jats:bold>\n                    Neovalve reconstruction using autologous RAA tissue is a safe, feasible, and hemodynamically effective technique for RVOT repair in selected pediatric patients. Due to its autologous nature, growth potential, and favorable early outcomes, it offers a meaningful alternative to synthetic or allogenic materials. Further follow-up studies are necessary to evaluate its long-term durability.\n                  <\/jats:p>","DOI":"10.1177\/21501351251387690","type":"journal-article","created":{"date-parts":[[2025,12,3]],"date-time":"2025-12-03T13:16:37Z","timestamp":1764767797000},"page":"435-440","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Neopulmonary Valve Reconstruction Using Autologous Right Atrial Appendage: Early Single-Center Results"],"prefix":"10.1177","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2022-9430","authenticated-orcid":false,"given":"Shiraslan","family":"Bakhshaliyev","sequence":"first","affiliation":[{"name":"Liv Bona Dea Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bahruz","family":"Aliyev","sequence":"additional","affiliation":[{"name":"Liv Bona Dea Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cabir","family":"Gulmaliyev","sequence":"additional","affiliation":[{"name":"Liv Bona Dea Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elvin","family":"Memiyev","sequence":"additional","affiliation":[{"name":"Liv Bona Dea Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ergin","family":"Arslano\u011flu","sequence":"additional","affiliation":[{"name":"Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Education and Research Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khayala","family":"Mammadova","sequence":"additional","affiliation":[{"name":"Liv Bona Dea Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0240-7635","authenticated-orcid":false,"given":"Lamiya","family":"Sultanova","sequence":"additional","affiliation":[{"name":"Liv Bona Dea Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aynur","family":"Abbasaliyeva","sequence":"additional","affiliation":[{"name":"Liv Bona Dea Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ramin","family":"Verdikhanov","sequence":"additional","affiliation":[{"name":"Liv Bona Dea Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fakhri","family":"Garayev","sequence":"additional","affiliation":[{"name":"Liv Bona Dea Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,12,3]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.5606\/tgkdc.dergisi.2020.18829"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.pcsu.2012.01.006"},{"issue":"3","key":"e_1_3_3_4_2","first-page":"329","article-title":"Repaired tetralogy of fallot: the roles of cardiovascular magnetic resonance in evaluating pathophysiology and for surgical planning","volume":"4","author":"Geva T","year":"2011","unstructured":"Geva T. Repaired tetralogy of fallot: the roles of cardiovascular magnetic resonance in evaluating pathophysiology and for surgical planning. Circ Cardiovasc Imaging. 2011;4(3):329-339.","journal-title":"Circ Cardiovasc Imaging"},{"issue":"4","key":"e_1_3_3_5_2","first-page":"463","article-title":"Right ventricular outflow tract reconstruction with a polytetrafluoroethylene monocusp valve: a 20-year experience","volume":"28","author":"Kumar M","year":"2016","unstructured":"Kumar M, Turrentine MW, Rodefeld MD, et al. Right ventricular outflow tract reconstruction with a polytetrafluoroethylene monocusp valve: a 20-year experience. Semin Thorac Surg. 2016;28(4):463-470.","journal-title":"Semin Thorac Surg"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2006.10.039"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1111\/jocs.14860"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezaa374"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/21501351241269945"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.5114\/kitp.2025.148562"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2006.12.045"},{"issue":"2","key":"e_1_3_3_12_2","first-page":"561","article-title":"Bicuspid polytetrafluoroethylene pulmonary valve implantation: a new approach for avoiding a valveless right ventricular-to-pulmonary artery connection","volume":"88","author":"Quintessenza JA","year":"2009","unstructured":"Quintessenza JA, Jacobs JP, Mawad W, et al. Bicuspid polytetrafluoroethylene pulmonary valve implantation: a new approach for avoiding a valveless right ventricular-to-pulmonary artery connection. Ann Thorac Surg. 2009;88(2):561-566.","journal-title":"Ann Thorac Surg"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2006.10.039"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2007.04.067"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2025.03.035"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1177\/21501351221145180"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.repc.2024.05.009"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.pcsu.2025.02.010"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehv550"}],"container-title":["World Journal for Pediatric and Congenital Heart Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/21501351251387690","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/21501351251387690","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/21501351251387690","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T13:07:59Z","timestamp":1780924079000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/21501351251387690"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,3]]},"references-count":18,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1177\/21501351251387690"],"URL":"https:\/\/doi.org\/10.1177\/21501351251387690","relation":{},"ISSN":["2150-1351","2150-136X"],"issn-type":[{"value":"2150-1351","type":"print"},{"value":"2150-136X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,3]]}}}