{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T01:02:00Z","timestamp":1790038920329,"version":"4.0.1"},"reference-count":9,"publisher":"Elsevier BV","issue":"34","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,5,28]],"date-time":"2026-05-28T00:00:00Z","timestamp":1779926400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jacc.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["JACC: Case Reports"],"published-print":{"date-parts":[[2026,8]]},"DOI":"10.1016\/j.jaccas.2026.108971","type":"journal-article","created":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T11:30:59Z","timestamp":1781868659000},"page":"108971","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Unexpected Intraoperative Diagnosis of Acute Type A Aortic Dissection in an Octogenarian"],"prefix":"10.1016","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2940-6074","authenticated-orcid":false,"given":"Abdul Rasheed","family":"Bahar","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4786-8088","authenticated-orcid":false,"given":"Yasemin","family":"Bahar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"Jr.","given":"Frank Alexander","family":"Baciewicz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jaccas.2026.108971_bib1","doi-asserted-by":"crossref","DOI":"10.1161\/JAHA.120.017147","article-title":"Outcomes of acute aortic dissection surgery in octogenarians","volume":"9","author":"Hsu","year":"2020","journal-title":"J Am Heart Assoc"},{"key":"10.1016\/j.jaccas.2026.108971_bib2","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1016\/j.avsg.2025.12.024","article-title":"Impact of age on survival after acute type A aortic dissection repair","volume":"125","author":"Wang","year":"2026","journal-title":"Ann Vasc Surg"},{"key":"10.1016\/j.jaccas.2026.108971_bib3","first-page":"77","article-title":"German registry for acute aortic dissection type A: structure, results, and future perspectives","volume":"65","author":"Boening","year":"2017","journal-title":"Thorac Cardiovasc Surg"},{"key":"10.1016\/j.jaccas.2026.108971_bib4","first-page":"1058","article-title":"Contemporary results after surgical repair of type A aortic dissection in patients aged 80 years and older: a systematic review and meta-analysis","volume":"40","author":"Biancari","year":"2011","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.1016\/j.jaccas.2026.108971_bib5","doi-asserted-by":"crossref","first-page":"222","DOI":"10.1186\/s13019-022-01980-x","article-title":"Outcomes of surgery for acute type A dissection in octogenarians versus non-octogenarians: a systematic review and meta analysis","volume":"17","author":"Eranki","year":"2022","journal-title":"J Cardiothorac Surg"},{"key":"10.1016\/j.jaccas.2026.108971_bib6","doi-asserted-by":"crossref","DOI":"10.1097\/MD.0000000000004408","article-title":"Hospital mortality of patients aged 80 and older after surgical repair for type A acute aortic dissection in Japan","volume":"95","author":"Ohnuma","year":"2016","journal-title":"Medicine (Baltimore)"},{"key":"10.1016\/j.jaccas.2026.108971_bib7","doi-asserted-by":"crossref","DOI":"10.1016\/j.chest.2021.07.2070","article-title":"An atypical presentation of an acute aortic dissection: a case report","volume":"160","author":"Charter","year":"2021","journal-title":"Chest"},{"key":"10.1016\/j.jaccas.2026.108971_bib8","doi-asserted-by":"crossref","first-page":"383","DOI":"10.21037\/acs.2016.07.07","article-title":"When and how to replace the aortic arch for type A dissection","volume":"5","author":"Di Bartolomeo","year":"2016","journal-title":"Ann Cardiothorac Surg"},{"key":"10.1016\/j.jaccas.2026.108971_bib9","doi-asserted-by":"crossref","first-page":"126","DOI":"10.1016\/j.xjon.2022.04.029","article-title":"Acute type A aortic dissection repair in octogenarians: where are the \u201cturn-down\u201d data?","volume":"10","author":"Harky","year":"2022","journal-title":"JTCVS Open"}],"container-title":["JACC: Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2666084926021327?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2666084926021327?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T00:12:25Z","timestamp":1790035945000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2666084926021327"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":9,"journal-issue":{"issue":"34","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["S2666084926021327"],"URL":"https:\/\/doi.org\/10.1016\/j.jaccas.2026.108971","relation":{},"ISSN":["2666-0849"],"issn-type":[{"value":"2666-0849","type":"print"}],"subject":[],"published":{"date-parts":[[2026,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Unexpected Intraoperative Diagnosis of Acute Type A Aortic Dissection in an Octogenarian","name":"articletitle","label":"Article Title"},{"value":"JACC: Case Reports","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jaccas.2026.108971","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Authors. Published by Elsevier on behalf of the American College of Cardiology Foundation.","name":"copyright","label":"Copyright"}],"article-number":"108971"}}