Journal Article Accepted manuscript Reply to Novkunskaya et al Get access Aliya Izumi, Aliya Izumi Peter Munk Cardiac Centre, Toronto General Hospital, University of Toronto, Toronto, Ontario, Canada Search for other works by this author on: Oxford Academic PubMed Google Scholar Grace Lee, Grace Lee Division of Cardiac Surgery, University of Toronto, Toronto, Ontario, Canada Search for other works by this author on: Oxford Academic PubMed Google Scholar Lorena Montes, Lorena Montes Division of Cardiac Surgery, Fundacion Cardiovascular de Colombia, Floridablanca, Santander, Colombia Search for other works by this author on: Oxford Academic PubMed Google Scholar Dominique Vervoort Dominique Vervoort Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada Corresponding Author: Dominique Vervoort, MD, MPH, MBA, Institute of Health Policy, Management and Evaluation, University of Toronto, 155 College St 4th Floor, Toronto, ON M5T 3M6, Canada. [email protected] +1 416 989 7874 Search for other works by this author on: Oxford Academic PubMed Google Scholar European Journal of Cardio-Thoracic Surgery, ezaf076, https://doi.org/10.1093/ejcts/ezaf076 Published: 08 March 2025 Article history Received: 20 February 2025 Accepted: 04 March 2025 Published: 08 March 2025