{"id":"https://openalex.org/W7204272107","doi":"https://doi.org/10.1016/j.jaccas.2026.109567","title":"When Resources Define Operability After Pulmonary Endarterectomy","display_name":"When Resources Define Operability After Pulmonary Endarterectomy","publication_year":2026,"publication_date":"2026-08-01","ids":{"openalex":"https://openalex.org/W7204272107","doi":"https://doi.org/10.1016/j.jaccas.2026.109567","pmid":"https://pubmed.ncbi.nlm.nih.gov/42657833","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13531196"},"language":"en","primary_location":{"id":"doi:10.1016/j.jaccas.2026.109567","doi":"https://doi.org/10.1016/j.jaccas.2026.109567","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.jaccas.2026.109567","pdf_url":null,"source":{"id":"https://openalex.org/S4210180918","display_name":"JACC Case Reports","issn_l":"2666-0849","issn":["2666-0849"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","poland-20"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JACC: Case Reports","raw_type":"journal-article"},"parent_works":[],"lineage":["https://openalex.org/W7204272107"],"child_works_count":0,"type":"editorial","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1016/j.jaccas.2026.109567","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5019728970","display_name":"Cristiano Berardo Carneiro da Cunha","orcid":"https://orcid.org/0000-0002-4365-1706","observed_orcids":["https://orcid.org/0000-0002-4365-1706"]},"institutions":[{"id":"https://openalex.org/I4210111560","display_name":"Instituto de Medicina Integral Professor Fernando Figueira","ror":"https://ror.org/01rtyyz33","country_code":"BR","type":"healthcare","lineage":["https://openalex.org/I4210111560"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Cristiano Berardo Cunha","raw_affiliation_strings":["IMIP - Instituto de Medicina Integral Professor Fernando Figueira, Recife, Pernambuco, Brazil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"IMIP - Instituto de Medicina Integral Professor Fernando Figueira, Recife, Pernambuco, Brazil","institution_ids":["https://openalex.org/I4210111560"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5011984687","display_name":"Fabiano Cantarelli","orcid":"https://orcid.org/0000-0001-7569-1246","observed_orcids":["https://orcid.org/0000-0001-7569-1246"]},"institutions":[{"id":"https://openalex.org/I4210111560","display_name":"Instituto de Medicina Integral Professor Fernando Figueira","ror":"https://ror.org/01rtyyz33","country_code":"BR","type":"healthcare","lineage":["https://openalex.org/I4210111560"]},{"id":"https://openalex.org/I71437568","display_name":"Universidade de Pernambuco","ror":"https://ror.org/00gtcbp88","country_code":"BR","type":"education","lineage":["https://openalex.org/I71437568"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Fabiano Lima Cantarelli","raw_affiliation_strings":["IMIP - Instituto de Medicina Integral Professor Fernando Figueira, Recife, Pernambuco, Brazil; Universidade de Pernambuco (UPE), Recife, Pernambuco, Brazil"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"IMIP - Instituto de Medicina Integral Professor Fernando Figueira, Recife, Pernambuco, Brazil; Universidade de Pernambuco (UPE), Recife, Pernambuco, Brazil","institution_ids":["https://openalex.org/I4210111560","https://openalex.org/I71437568"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5011781988","display_name":"Rafael Alessandro Ferreira Gomes","orcid":"https://orcid.org/0000-0003-4440-3154","observed_orcids":["https://orcid.org/0000-0003-4440-3154"]},"institutions":[{"id":"https://openalex.org/I4210086023","display_name":"Real Hospital Portugu\u00eas","ror":"https://ror.org/00ccgr484","country_code":"BR","type":"healthcare","lineage":["https://openalex.org/I4210086023"]},{"id":"https://openalex.org/I71437568","display_name":"Universidade de Pernambuco","ror":"https://ror.org/00gtcbp88","country_code":"BR","type":"education","lineage":["https://openalex.org/I71437568"]}],"countries":["BR"],"is_corresponding":true,"raw_author_name":"Rafael Alessandro Ferreira Gomes","raw_affiliation_strings":["Universidade de Pernambuco (UPE), Recife, Pernambuco, Brazil; Real Cardio, Real Hospital Portugu\u00eas, Recife, Pernambuco, Brazil. Electronic address: rafael.gomes@upe.br"],"raw_orcid":"https://orcid.org/0000-0003-4440-3154","affiliations":[{"raw_affiliation_string":"Universidade de Pernambuco (UPE), Recife, Pernambuco, Brazil; Real Cardio, Real Hospital Portugu\u00eas, Recife, Pernambuco, Brazil. Electronic address: rafael.gomes@upe.br","institution_ids":["https://openalex.org/I4210086023","https://openalex.org/I71437568"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5011781988"],"corresponding_institution_ids":["https://openalex.org/I4210086023","https://openalex.org/I71437568"],"apc_list":{"value":850,"currency":"USD","value_usd":850},"apc_paid":{"value":850,"currency":"USD","value_usd":850},"fwci":null,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":"31","issue":"34","first_page":"109567","last_page":"109567"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10728","display_name":"Pulmonary Hypertension Research and Treatments","score":0.9496999979019165,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10728","display_name":"Pulmonary Hypertension Research and Treatments","score":0.9496999979019165,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10285","display_name":"Venous Thromboembolism Diagnosis and Management","score":0.03889999911189079,"subfield":{"id":"https://openalex.org/subfields/2724","display_name":"Internal Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12199","display_name":"Vascular Anomalies and Treatments","score":0.003599999938160181,"subfield":{"id":"https://openalex.org/subfields/2716","display_name":"Genetics (clinical)"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/pulmonary-endarterectomy","display_name":"pulmonary endarterectomy","score":0.9369999766349792},{"id":"https://openalex.org/keywords/recurrent-pulmonary-embolism","display_name":"recurrent pulmonary embolism","score":0.9819999933242798},{"id":"https://openalex.org/keywords/chronic-thromboembolic-pulmonary-hypertension","display_name":"chronic thromboembolic pulmonary hypertension","score":0.9750000238418579},{"id":"https://openalex.org/keywords/chronic-thromboembolic-pulmonary-disease","display_name":"chronic thromboembolic pulmonary disease","score":0.9739999771118164},{"id":"https://openalex.org/keywords/right-ventricular-dysfunction","display_name":"right ventricular dysfunction","score":0.753000020980835},{"id":"https://openalex.org/keywords/hyperhomocysteinemia","display_name":"hyperhomocysteinemia","score":0.8410000205039978},{"id":"https://openalex.org/keywords/rivaroxaban","display_name":"rivaroxaban","score":0.8889999985694885},{"id":"https://openalex.org/keywords/thrombolysis","display_name":"thrombolysis","score":0.9169999957084656},{"id":"https://openalex.org/keywords/right-heart-catheterization","display_name":"right heart catheterization","score":0.902999997138977},{"id":"https://openalex.org/keywords/inoperability","display_name":"inoperability","score":0.6470000147819519}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6884999871253967},{"id":"https://openalex.org/C126231374","wikidata":"https://www.wikidata.org/wiki/Q1061298","display_name":"Operability","level":2,"score":0.5022000074386597},{"id":"https://openalex.org/C2779745121","wikidata":"https://www.wikidata.org/wiki/Q81476","display_name":"Endarterectomy","level":3,"score":0.3504999876022339},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.3443000018596649},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.3149999976158142},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.3043999969959259},{"id":"https://openalex.org/C18762648","wikidata":"https://www.wikidata.org/wiki/Q42213","display_name":"Work (physics)","level":2,"score":0.2906000018119812},{"id":"https://openalex.org/C2776265017","wikidata":"https://www.wikidata.org/wiki/Q220570","display_name":"Pulmonary embolism","level":2,"score":0.2671000063419342},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.2606000006198883},{"id":"https://openalex.org/C2780940725","wikidata":"https://www.wikidata.org/wiki/Q206280","display_name":"Pulmonary artery","level":2,"score":0.23309999704360962}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.1016/j.jaccas.2026.109567","doi":"https://doi.org/10.1016/j.jaccas.2026.109567","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.jaccas.2026.109567","pdf_url":null,"source":{"id":"https://openalex.org/S4210180918","display_name":"JACC Case Reports","issn_l":"2666-0849","issn":["2666-0849"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","poland-20"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JACC: Case Reports","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13531196","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13531196/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13531196/pdf/","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JACC Case Rep","raw_type":"Text"},{"id":"pmid:42657833","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42657833","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JACC. Case reports","raw_type":"Editorial"}],"best_oa_location":{"id":"doi:10.1016/j.jaccas.2026.109567","doi":"https://doi.org/10.1016/j.jaccas.2026.109567","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.jaccas.2026.109567","pdf_url":null,"source":{"id":"https://openalex.org/S4210180918","display_name":"JACC Case Reports","issn_l":"2666-0849","issn":["2666-0849"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","poland-20"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JACC: Case Reports","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7204272107.pdf","grobid_xml":"https://content.openalex.org/works/W7204272107.grobid-xml"},"referenced_works_count":5,"referenced_works":["https://openalex.org/W2970180664","https://openalex.org/W2971121646","https://openalex.org/W4293217384","https://openalex.org/W4385219261","https://openalex.org/W7167544781"],"related_works":["https://openalex.org/W2331668619","https://openalex.org/W2494324911","https://openalex.org/W2082100289","https://openalex.org/W3198980155","https://openalex.org/W2162967146","https://openalex.org/W2755009629","https://openalex.org/W4212823044","https://openalex.org/W2405986557","https://openalex.org/W4362582110","https://openalex.org/W2998641525"],"abstract_inverted_index":{"A":[0],"recurrent":[1,33,68,169],"pulmonary":[2,31,36,65,69,109,170,176,221],"embolism":[3,70],"after":[4,175,205],"pulmo-":[5],"nary":[6],"endarterectomy":[7],"is":[8,90,118,129,164],"never":[9],"a":[10,21,40,60,96,103,196],"simple":[11],"recurrence.It":[12],"forces":[13],"clinicians":[14],"to":[15,80],"ask":[16],"whether":[17],"they":[18,189],"are":[19],"facing":[20],"new":[22,197],"acute":[23,210],"thromboembolic":[24,30,35],"event,":[25],"residual":[26,172],"or":[27,39],"progressive":[28],"chronic":[29,34,173,226],"disease,":[32,111],"hypertension":[37,222],"(CTEPH),":[38],"combination":[41],"of":[42,51],"these":[43],"processes.In":[44],"the":[45,112,122,125],"accompanying":[46],"case":[47],"in":[48,108],"this":[49,194],"issue":[50],"JACC:":[52],"Case":[53],"Reports,":[54],"Batool":[55],"et":[56],"al":[57],"1":[58],"describe":[59],"young":[61],"patient":[62],"with":[63],"previous":[64,213],"endarterectomy,":[66,177,214],"hyperhomocysteinemia,":[67],"while":[71],"receiving":[72],"rivaroxaban,":[73],"right":[74,141,151,185,216],"ventricular":[75,152,186],"dysfunction,":[76,153],"and":[77,85,105,116,150,178,184,201,219],"limited":[78],"access":[79],"invasive":[81,159],"hemodynamics,":[82],"catheter-based":[83],"therapies,":[84],"advanced":[86],"cardiopulmonary":[87],"support.The":[88],"report":[89],"important":[91,209],"not":[92,137],"because":[93,100,140],"it":[94,101],"offers":[95],"definitive":[97],"solution,":[98],"but":[99,154],"exposes":[102],"frequent":[104],"underdiscussed":[106],"problem:":[107],"vascular":[110],"boundary":[113],"between":[114],"inoperability":[115],"nondeliverability":[117],"often":[119],"drawn":[120],"by":[121],"system":[123],"around":[124],"patient.The":[126],"first":[127],"lesson":[128],"diagnostic.The":[130],"authors":[131],"appropriately":[132],"acknowledge":[133],"that":[134],"CTEPH":[135,163,179],"could":[136],"be":[138],"confirmed":[139],"heart":[142],"catheterization":[143],"was":[144],"unavailable.Echocardiography":[145],"suggested":[146],"elevated":[147],"right-sided":[148],"pressures":[149],"noninvasive":[155],"imaging":[156,182],"cannot":[157],"replace":[158],"hemodynamic":[160],"confirmation":[161],"when":[162],"suspected.2":[165],"This":[166],"distinction":[167],"matters.Acute":[168],"embolism,":[171],"obstruction":[174],"share":[180],"symptoms,":[181],"abnormalities,":[183],"consequences,":[187],"yet":[188],"drive":[190],"different":[191],"therapeutic":[192],"pathways.In":[193],"patient,":[195],"proximal":[198],"filling":[199],"defect":[200],"subsequent":[202],"radiographic":[203],"improvement":[204],"thrombolysis":[206],"support":[207],"an":[208],"component,":[211],"whereas":[212],"reduced":[215],"lung":[217],"volume,":[218],"suspected":[220],"raise":[223],"concern":[224],"for":[225],"disease.":[227]},"counts_by_year":[],"updated_date":"2026-11-14T11:04:58.165337","created_date":"2026-08-27T00:00:00"}
