{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T09:22:09Z","timestamp":1775812929090,"version":"3.50.1"},"reference-count":35,"publisher":"Elsevier BV","issue":"6","license":[{"start":{"date-parts":[[2017,12,1]],"date-time":"2017-12-01T00:00:00Z","timestamp":1512086400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2019,12,1]],"date-time":"2019-12-01T00:00:00Z","timestamp":1575158400000},"content-version":"vor","delay-in-days":730,"URL":"http:\/\/www.elsevier.com\/open-access\/userlicense\/1.0\/"}],"content-domain":{"domain":["clinicalkey.jp","clinicalkey.com","jtcvsonline.org","clinicalkey.es","clinicalkey.com.au","clinicalkey.fr","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Thoracic and Cardiovascular Surgery"],"published-print":{"date-parts":[[2017,12]]},"DOI":"10.1016\/j.jtcvs.2017.06.038","type":"journal-article","created":{"date-parts":[[2017,6,24]],"date-time":"2017-06-24T07:47:08Z","timestamp":1498290428000},"page":"1842-1849","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":17,"title":["Staged treatment of mega aortic syndrome using the frozen elephant trunk and hybrid thoracoabdominal repair"],"prefix":"10.1016","volume":"154","author":[{"given":"Asimakis","family":"Gkremoutis","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreas","family":"Zierer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Schmitz-Rixen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ali","family":"El-Sayed Ahmad","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erhard","family":"Kaiser","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Keese","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Schmandra","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.jtcvs.2017.06.038_bib1","doi-asserted-by":"crossref","first-page":"555","DOI":"10.1016\/S0741-5214(99)70084-4","article-title":"Repair of type IV thoracoabdominal aneurysm with a combined endovascular and surgical approach","volume":"30","author":"Quinones-Baldrich","year":"1999","journal-title":"J Vasc Surg"},{"key":"10.1016\/j.jtcvs.2017.06.038_bib2","doi-asserted-by":"crossref","first-page":"347","DOI":"10.1016\/j.jvs.2014.09.011","article-title":"Staged endovascular repair of thoracoabdominal aortic aneurysms limits incidence and severity of spinal cord ischemia","volume":"61","author":"O'Callaghan","year":"2015","journal-title":"J Vasc Surg"},{"key":"10.1016\/j.jtcvs.2017.06.038_bib3","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1177\/1531003511432768","article-title":"Clinical outcome of staged versus combined treatment approach of hybrid repair of thoracoabdominal aortic aneurysm with visceral vessel debranching and aortic endograft exclusion","volume":"24","author":"Lin","year":"2012","journal-title":"Perspect Vasc Surg Endovasc Ther"},{"key":"10.1016\/j.jtcvs.2017.06.038_bib4","doi-asserted-by":"crossref","first-page":"1408","DOI":"10.1016\/j.jtcvs.2013.07.070","article-title":"Endovascular versus open elephant trunk completion for extensive aortic disease","volume":"146","author":"Roselli","year":"2013","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.jtcvs.2017.06.038_bib5","doi-asserted-by":"crossref","first-page":"759","DOI":"10.1093\/ejcts\/ezv085","article-title":"Current status and recommendations for use of the frozen elephant trunk technique: a position paper by the Vascular Domain of EACTS","volume":"47","author":"Shrestha","year":"2015","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.1016\/j.jtcvs.2017.06.038_bib6","first-page":"407","article-title":"Hybrid approach to emergent and urgent treatment of complex thoracoabdominal aortic pathology","volume":"48","author":"Gkremoutis","year":"2014","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.1016\/j.jtcvs.2017.06.038_bib7","doi-asserted-by":"crossref","first-page":"389","DOI":"10.21037\/acs.2016.07.08","article-title":"Thoracic endovascular repair for acute type A aortic dissection: operative technique","volume":"5","author":"Shah","year":"2016","journal-title":"Ann Cardiothorac Surg"},{"key":"10.1016\/j.jtcvs.2017.06.038_bib8","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1055\/s-2007-1020290","article-title":"Extensive aortic replacement using \u201celephant trunk\u201d prosthesis","volume":"31","author":"Borst","year":"1983","journal-title":"Thorac Cardiovasc Surg"},{"issue":"9 Suppl","key":"10.1016\/j.jtcvs.2017.06.038_bib9","first-page":"II188","article-title":"New graft-implanting method for thoracic aortic aneurysm or dissection with a stented graft","volume":"94","author":"Kato","year":"1996","journal-title":"Circulation"},{"key":"10.1016\/j.jtcvs.2017.06.038_bib10","doi-asserted-by":"crossref","first-page":"949","DOI":"10.1093\/ejcts\/ezt229","article-title":"Total aortic arch replacement with the frozen elephant trunk technique: 10-year follow-up single-centre experience","volume":"44","author":"Ius","year":"2013","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.1016\/j.jtcvs.2017.06.038_bib11","doi-asserted-by":"crossref","first-page":"1244","DOI":"10.1016\/j.athoracsur.2009.06.055","article-title":"Long-term results after repair of type a acute aortic dissection according to false lumen patency","volume":"88","author":"Fattouch","year":"2009","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.jtcvs.2017.06.038_bib12","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1016\/j.jtcvs.2006.07.043","article-title":"The fate of the distal aorta after repair of acute type A aortic dissection","volume":"133","author":"Halstead","year":"2007","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.jtcvs.2017.06.038_bib13","doi-asserted-by":"crossref","first-page":"1663","DOI":"10.1016\/j.athoracsur.2011.06.027","article-title":"The frozen elephant trunk for the treatment of chronic dissection of the thoracic aorta: a multicenter experience","volume":"92","author":"Pacini","year":"2011","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.jtcvs.2017.06.038_bib14","doi-asserted-by":"crossref","first-page":"1358","DOI":"10.1016\/j.jtcvs.2009.04.017","article-title":"Surgery for acute type A dissection using total arch replacement combined with stented elephant trunk implantation: experience with 107 patients","volume":"138","author":"Sun","year":"2009","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.jtcvs.2017.06.038_bib15","doi-asserted-by":"crossref","first-page":"482","DOI":"10.1016\/j.athoracsur.2009.04.046","article-title":"Antegrade thoracic stent grafting during repair of acute DeBakey I dissection prevents development of thoracoabdominal aortic aneurysms","volume":"88","author":"Pochettino","year":"2009","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.jtcvs.2017.06.038_bib16","doi-asserted-by":"crossref","first-page":"971","DOI":"10.1161\/CIRCULATIONAHA.110.015081","article-title":"Total arch replacement combined with stented elephant trunk implantation: a new \u201cstandard\u201d therapy for type a dissection involving repair of the aortic arch?","volume":"123","author":"Sun","year":"2011","journal-title":"Circulation"},{"key":"10.1016\/j.jtcvs.2017.06.038_bib17","first-page":"216","article-title":"We should replace the aortic arch and more in DeBakey type I dissection - A perspective from the Cleveland Clinic","volume":"2","author":"Roselli","year":"2013","journal-title":"Ann Cardiothorac Surg"},{"key":"10.1016\/j.jtcvs.2017.06.038_bib18","doi-asserted-by":"crossref","first-page":"e325","DOI":"10.1093\/ejcts\/ezt374","article-title":"One-stage repair in complex multisegmental thoracic aneurysmal disease: results of a multicentre study","volume":"44","author":"Mestres","year":"2013","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.1016\/j.jtcvs.2017.06.038_bib19","doi-asserted-by":"crossref","first-page":"617","DOI":"10.1016\/j.jtcvs.2011.07.066","article-title":"Influence of operative strategy for the aortic arch in DeBakey type I aortic dissection: analysis of the German Registry for Acute Aortic Dissection Type A","volume":"144","author":"Easo","year":"2012","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.jtcvs.2017.06.038_bib20","doi-asserted-by":"crossref","first-page":"S862","DOI":"10.1016\/j.athoracsur.2006.10.088","article-title":"Open surgical repair of 2286 thoracoabdominal aortic aneurysms","volume":"83","author":"Coselli","year":"2007","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.jtcvs.2017.06.038_bib21","doi-asserted-by":"crossref","first-page":"1374","DOI":"10.1093\/ejcts\/ezv415","article-title":"Open thoracoabdominal aortic aneurysm repair in the modern era: results from a 20-year single-centre experience","volume":"49","author":"Murana","year":"2016","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.1016\/j.jtcvs.2017.06.038_bib22","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1093\/ejcts\/ezu096","article-title":"Thoracoabdominal aortic aneurysm repair after frozen elephant trunk procedure","volume":"47","author":"Folkmann","year":"2015","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.1016\/j.jtcvs.2017.06.038_bib23","doi-asserted-by":"crossref","first-page":"126","DOI":"10.1093\/ejcts\/ezu102","article-title":"Hybrid multistep approach to mega-aortic syndrome: the Lupiae technique","volume":"47","author":"Esposito","year":"2015","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.1016\/j.jtcvs.2017.06.038_bib24","doi-asserted-by":"crossref","first-page":"641","DOI":"10.1016\/j.ejvs.2014.07.005","article-title":"Outcomes of fenestrated\/branched endografting in post-dissection thoracoabdominal aortic aneurysms","volume":"48","author":"Oikonomou","year":"2014","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"10.1016\/j.jtcvs.2017.06.038_bib25","doi-asserted-by":"crossref","first-page":"930","DOI":"10.1016\/j.jvs.2015.10.095","article-title":"Fenestrated and branched endovascular aneurysm repair outcomes for type II and III thoracoabdominal aortic aneurysms","volume":"63","author":"Eagleton","year":"2016","journal-title":"J Vasc Surg"},{"key":"10.1016\/j.jtcvs.2017.06.038_bib26","doi-asserted-by":"crossref","first-page":"1201","DOI":"10.1016\/j.jvs.2015.10.099","article-title":"A propensity-matched comparison for endovascular and open repair of thoracoabdominal aortic aneurysms","volume":"63","author":"Ferrer","year":"2016","journal-title":"J Vasc Surg"},{"key":"10.1016\/j.jtcvs.2017.06.038_bib27","doi-asserted-by":"crossref","first-page":"355","DOI":"10.1016\/j.jvs.2014.09.068","article-title":"Twelve-year results of fenestrated endografts for juxtarenal and group IV thoracoabdominal aneurysms","volume":"61","author":"Mastracci","year":"2015","journal-title":"J Vasc Surg"},{"key":"10.1016\/j.jtcvs.2017.06.038_bib28","doi-asserted-by":"crossref","first-page":"1881","DOI":"10.1056\/NEJMoa0909499","article-title":"Long-term outcome of open or endovascular repair of abdominal aortic aneurysm","volume":"362","author":"De Bruin","year":"2010","journal-title":"N Engl J Med"},{"key":"10.1016\/j.jtcvs.2017.06.038_bib29","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.jvs.2007.02.073","article-title":"Persistent type 2 endoleak after endovascular repair of abdominal aortic aneurysm is associated with adverse late outcomes","volume":"46","author":"Jones","year":"2007","journal-title":"J\u00a0Vasc Surg"},{"key":"10.1016\/j.jtcvs.2017.06.038_bib30","doi-asserted-by":"crossref","first-page":"1262","DOI":"10.1002\/bjs.9181","article-title":"Type II endoleak after endovascular aneurysm repair","volume":"100","author":"Sidloff","year":"2013","journal-title":"Br J Surg"},{"key":"10.1016\/j.jtcvs.2017.06.038_bib31","doi-asserted-by":"crossref","first-page":"1103","DOI":"10.1016\/j.jvs.2007.08.020","article-title":"Neurologic complications associated with endovascular repair of thoracic aortic pathology: incidence and risk factors. a study from the European Collaborators on Stent\/Graft Techniques for Aortic Aneurysm Repair (EUROSTAR) registry","volume":"46","author":"Buth","year":"2007","journal-title":"J Vasc Surg"},{"key":"10.1016\/j.jtcvs.2017.06.038_bib32","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1016\/j.jvs.2013.07.007","article-title":"Hypogastric and subclavian artery patency affects onset and recovery of spinal cord ischemia associated with aortic endografting","volume":"59","author":"Eagleton","year":"2014","journal-title":"J Vasc Surg"},{"key":"10.1016\/j.jtcvs.2017.06.038_bib33","doi-asserted-by":"crossref","first-page":"510","DOI":"10.1097\/SLA.0000000000000892","article-title":"Repair of extensive aortic aneurysms: a single-center experience using the elephant trunk technique over 20 years","volume":"260","author":"Estrera","year":"2014","journal-title":"Ann Surg"},{"key":"10.1016\/j.jtcvs.2017.06.038_bib34","doi-asserted-by":"crossref","first-page":"1561","DOI":"10.1016\/j.athoracsur.2005.11.038","article-title":"The elephant trunk technique for staged repair of complex aneurysms of the entire thoracic aorta","volume":"81","author":"LeMaire","year":"2006","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.jtcvs.2017.06.038_bib35","doi-asserted-by":"crossref","first-page":"605","DOI":"10.1016\/j.ejcts.2008.04.045","article-title":"Staged repair of thoracic and thoracoabdominal aortic aneurysms using the elephant trunk technique: a consecutive series of 215 first stage and 120 complete repairs","volume":"34","author":"Etz","year":"2008","journal-title":"Eur J Cardiothorac Surg"}],"container-title":["The Journal of Thoracic and Cardiovascular Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022522317313570?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022522317313570?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2019,12,2]],"date-time":"2019-12-02T14:31:20Z","timestamp":1575297080000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0022522317313570"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,12]]},"references-count":35,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2017,12]]}},"alternative-id":["S0022522317313570"],"URL":"https:\/\/doi.org\/10.1016\/j.jtcvs.2017.06.038","relation":{},"ISSN":["0022-5223"],"issn-type":[{"value":"0022-5223","type":"print"}],"subject":[],"published":{"date-parts":[[2017,12]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Staged treatment of mega aortic syndrome using the frozen elephant trunk and hybrid thoracoabdominal repair","name":"articletitle","label":"Article Title"},{"value":"The Journal of Thoracic and Cardiovascular Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jtcvs.2017.06.038","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2017 by The American Association for Thoracic Surgery","name":"copyright","label":"Copyright"}]}}