{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T20:30:16Z","timestamp":1786739416747,"version":"build-2736575974"},"reference-count":16,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Late-presenting transposition of the great arteries (TGAs) with an intact ventricular septum is characterized by left ventricular (LV) regression, making primary arterial switch operation (ASO) unsafe. Ductal stenting offers a less invasive alternative compared to conventional LV retraining using pulmonary artery banding and Blalock\u2013Taussig\u2013Thomas shunt. We analyzed outcomes of ASO following ductal stenting for LV retraining in six consecutive TGA children (median weight 3.3 kg). Median age at stenting and at surgery was 2 months and 2.5 months, respectively. The median interval from stenting to surgery was 33 days (8\u2013238 days). LV mass increased significantly from 31.5 \u00b1 3.8 to 60.6 \u00b1 9.4 g\/m\n                    <jats:sup>2<\/jats:sup>\n                    (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = 0.0021), and LV posterior wall thickness increased from 3.4 \u00b1 0.4 to 4.4 \u00b1 0.3 mm (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = 0.0048). All patients underwent successful ASO with ductal stent removal and no mortality. Ductal stenting appears to be a safe, effective strategy for LV retraining, and enabling late ASO.\n                  <\/jats:p>","DOI":"10.4103\/apc.apc_312_25","type":"journal-article","created":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T05:00:17Z","timestamp":1779771617000},"page":"183-187","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Arterial switch operation after left ventricular retraining with ductal stent: Our experience"],"prefix":"10.4103","volume":"19","author":[{"given":"Debasis","family":"Das","sequence":"first","affiliation":[{"name":"Department of Cardiac Surgery, Narayana Superspeciality Hospital, Howrah, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tanulina","family":"Sarkar","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Narayana Superspeciality Hospital, Howrah, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shubhadeep","family":"Das","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiac Intensive Care, Narayana Superspeciality Hospital, Howrah, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Varsha","family":"Malladi","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Narayana Superspeciality Hospital, Howrah, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manish Kumar","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Cardiac Anaesthesia, Narayana Superspeciality Hospital, Howrah, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shivani","family":"Gajpal","sequence":"additional","affiliation":[{"name":"Department of Cardiac Anaesthesia, Narayana Superspeciality Hospital, Howrah, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amitabha","family":"Chattopadhyay","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology, Narayana Superspeciality Hospital, Howrah, West Bengal, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,5,25]]},"reference":[{"key":"R1-20260527","doi-asserted-by":"crossref","first-page":"707","DOI":"10.1016\/j.ejcts.2010.03.037","article-title":"Primary arterial switch operation in children presenting late with d-transposition of great arteries and intact ventricular septum. 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Evaluation of left ventricular systolic mechanics late after an acute pressure overload stimulus in infancy","volume":"90","author":"Boutin","year":"1994","journal-title":"Circulation"}],"container-title":["Annals of Pediatric Cardiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/apc.apc_312_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T19:28:49Z","timestamp":1786735729000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/apc.apc_312_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":16,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/apc.apc_312_25","relation":{},"ISSN":["0974-2069","0974-5149"],"issn-type":[{"value":"0974-2069","type":"print"},{"value":"0974-5149","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3]]},"assertion":[{"value":"2025-10-28","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-03","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}