{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T09:13:39Z","timestamp":1790241219011,"version":"4.1.0"},"reference-count":21,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T00:00:00Z","timestamp":1761004800000},"content-version":"vor","delay-in-days":20,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>A thoracic aortic aneurysm is a dilatation in the wall of the aorta. If untreated, it can rupture or tear, which is life\u2010threatening. A 74\u2010year\u2010old man was admitted to Sina Hospital with hoarseness and dysphonia. He was diagnosed with a thoracic aortic aneurysm (TAA) measuring 73\u2009mm near the left subclavian artery and a 46\u2009mm saccular ulcerous TAA in the mid\u2010thoracic aorta. Preoperative evaluations were normal. Due to comorbidities, open surgery was not an option, so the patient was selected for thoracic endovascular aneurysm repair (TEVAR). However, the proximity of the aneurysm to the origins of the left subclavian and common carotid arteries limited the stent's landing zone. To resolve this, an open surgery was performed to ligate the left subclavian and common carotid arteries and bypass them to their right counterparts, extending the landing zone for the stent. TEVAR was then successfully carried out from the brachiocephalic trunk, covering most of the ulcerous TAA in the mid\u2010aorta. The patient was discharged in good condition and has shown positive progress in follow\u2010up visits. This case demonstrates a novel and complex approach that combines open surgical ligation and bypass of the left subclavian and common carotid arteries with TEVAR. The technique successfully expands the proximal landing zone for thoracic aortic aneurysm repair, contributing a practical solution for high\u2010risk patients with complex anatomy, leading to effective stent deployment and enhanced clinical outcomes.<\/jats:p>","DOI":"10.1002\/ccr3.71339","type":"journal-article","created":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T05:15:18Z","timestamp":1761110118000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["New Technique for Expanding the Proximal Landing Zone in Thoracic Endovascular Aneurysm Repair: Case Report"],"prefix":"10.1002","volume":"13","author":[{"given":"Javad","family":"Salimi","sequence":"first","affiliation":[{"name":"Tehran University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ghazal","family":"Dahaghin","sequence":"additional","affiliation":[{"name":"School of Medicine Tehran University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siamak","family":"Mousazadeh","sequence":"additional","affiliation":[{"name":"Ardabil University of Medical Sciences  Ardabil Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0333-6741","authenticated-orcid":false,"given":"Afshin","family":"Bighamian","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Sina Hospital Tehran University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,10,21]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ccl.2021.06.003"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anclin.2022.08.011"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2016.03.570"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.3390\/genes13101814"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000000795"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.echo.2024.10.018"},{"issue":"10","key":"e_1_2_12_8_1","article-title":"Chronic Thoracic Aortic Dissection: How to Treat, When to Intervene","volume":"12","author":"Papakonstantinou P. E.","year":"2022","journal-title":"Life (Basel)"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0044-1791670"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvsvf.2024.10.001"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2024.11.007"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2024.11.011"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2015.05.138"},{"key":"e_1_2_12_14_1","first-page":"85","article-title":"Expanding the Landing Zone for TEVAR","volume":"15","author":"Han D. K.","year":"2016","journal-title":"Endovascular Today"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2009.08.090"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2007.08.020"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/0741-5214(86)90077-7"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1078-5884(96)80009-8"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1067\/mva.2003.128"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0741-5214(99)70217-X"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcts.2011.05.058"},{"issue":"3","key":"e_1_2_12_22_1","first-page":"247","article-title":"A Systematic Review and Meta\u2010Analysis of Hybrid Aortic Arch Replacement","volume":"2","author":"Moulakakis K. G.","year":"2013","journal-title":"Annals of Cardiothoracic Surgery"}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.71339","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccr3.71339","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.71339","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T08:55:34Z","timestamp":1790240134000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.71339"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10]]},"references-count":21,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2025,10]]}},"alternative-id":["10.1002\/ccr3.71339"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.71339","archive":["Portico"],"relation":{"has-preprint":[{"id-type":"doi","id":"10.22541\/au.174504435.53630089\/v1","asserted-by":"object"}]},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"value":"2050-0904","type":"print"},{"value":"2050-0904","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10]]},"assertion":[{"value":"2025-04-17","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-14","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-21","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e71339"}}