{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T08:57:38Z","timestamp":1790845058787,"version":"4.1.0"},"reference-count":29,"publisher":"Elsevier BV","issue":"4","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jtcvsonline.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Thoracic and Cardiovascular Surgery"],"published-print":{"date-parts":[[2026,10]]},"DOI":"10.1016\/j.jtcvs.2026.04.054","type":"journal-article","created":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T15:26:58Z","timestamp":1778858818000},"page":"930-943.e5","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Extended arch replacement is associated with improved long-term outcomes in acute type A aortic dissection with ascending entry tear"],"prefix":"10.1016","volume":"172","author":[{"given":"Satoshi","family":"Kainuma","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Werner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yosuke","family":"Inoue","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B\u00fcsra","family":"Eryigit","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rabab","family":"Saleh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshimasa","family":"Seike","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takayuki","family":"Shijo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yojiro","family":"Koda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazufumi","family":"Yoshida","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emilio","family":"Osorio-Jaramillo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philipp","family":"Angleitner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie-Elisabeth","family":"Stelzmueller","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephan\u00e9","family":"Mahr","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia","family":"Dumfarth","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Zimpfer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hitoshi","family":"Matsuda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marek","family":"Ehrlich","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"3","key":"10.1016\/j.jtcvs.2026.04.054_bib1","doi-asserted-by":"crossref","first-page":"735","DOI":"10.1016\/j.jtcvs.2021.04.053","article-title":"2021 The American Association for Thoracic Surgery expert consensus document: surgical treatment of acute type A aortic dissection","volume":"162","author":"Malaisrie","year":"2021","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"2","key":"10.1016\/j.jtcvs.2026.04.054_bib2","doi-asserted-by":"crossref","DOI":"10.1093\/ejcts\/ezad426","article-title":"EACTS\/STS guidelines for diagnosing and treating acute and chronic syndromes of the aortic organ","volume":"65","author":"Czerny","year":"2024","journal-title":"Eur J Cardiothorac Surg"},{"issue":"2","key":"10.1016\/j.jtcvs.2026.04.054_bib3","doi-asserted-by":"crossref","first-page":"300","DOI":"10.1016\/j.jtcvs.2011.08.052","article-title":"Late reoperations after repaired acute type A aortic dissection","volume":"144","author":"Kobuch","year":"2012","journal-title":"J Thorac Cardiovas Surg"},{"issue":"6","key":"10.1016\/j.jtcvs.2026.04.054_bib4","doi-asserted-by":"crossref","first-page":"1127","DOI":"10.1093\/ejcts\/ezx062","article-title":"Fate of the dissected aortic arch after ascending replacement in type A aortic dissection","volume":"51","author":"Rylski","year":"2017","journal-title":"Eur J Cardiothorac Surg"},{"issue":"5","key":"10.1016\/j.jtcvs.2026.04.054_bib5","doi-asserted-by":"crossref","first-page":"851","DOI":"10.1093\/ejcts\/ezs157","article-title":"Descending aortic aneurysmal changes following surgery for acute DeBakey type I aortic dissection","volume":"42","author":"Kim","year":"2012","journal-title":"Eur J Cardiothorac Surg"},{"issue":"2","key":"10.1016\/j.jtcvs.2026.04.054_bib6","doi-asserted-by":"crossref","first-page":"463","DOI":"10.1016\/j.athoracsur.2020.05.090","article-title":"Midterm outcomes of the dissected aorta repair through stent implantation trial","volume":"111","author":"Bozso","year":"2021","journal-title":"Ann Thorac Surg"},{"issue":"4","key":"10.1016\/j.jtcvs.2026.04.054_bib7","doi-asserted-by":"crossref","first-page":"1025","DOI":"10.1016\/j.jtcvs.2020.02.087","article-title":"Results of ascending aortic and arch replacement for type A aortic dissection","volume":"162","author":"Uchida","year":"2021","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"2","key":"10.1016\/j.jtcvs.2026.04.054_bib8","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1016\/j.jtcvs.2015.03.068","article-title":"Early and late outcomes of repaired acute DeBakey type I aortic dissection after graft replacement","volume":"151","author":"Omura","year":"2016","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"3","key":"10.1016\/j.jtcvs.2026.04.054_bib9","doi-asserted-by":"crossref","first-page":"567","DOI":"10.1093\/ejcts\/ezw111","article-title":"Surgical outcomes for acute type A aortic dissection with aggressive primary entry resection","volume":"50","author":"Inoue","year":"2016","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.1016\/j.jtcvs.2026.04.054_bib10","article-title":"Frozen elephant trunk for acute type A aortic dissection: long-term outcomes over two decades","volume":"30","author":"Ma","year":"2026","journal-title":"Eur Heart J"},{"key":"10.1016\/j.jtcvs.2026.04.054_bib11","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1016\/j.xjon.2025.07.002","article-title":"Efficacy of total arch replacement with frozen elephant trunk in patients with acute type A aortic dissection","volume":"27","author":"Inoue","year":"2025","journal-title":"JTCVS Open"},{"issue":"3","key":"10.1016\/j.jtcvs.2026.04.054_bib12","doi-asserted-by":"crossref","first-page":"579","DOI":"10.1093\/ejcts\/ezz104","article-title":"Comparative study of the frozen elephant trunk and classical elephant trunk techniques to supplement total arch replacement for acute type A aortic dissection","volume":"56","author":"Inoue","year":"2019","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.1016\/j.jtcvs.2026.04.054_bib13","doi-asserted-by":"crossref","first-page":"1091","DOI":"10.1016\/j.athoracsur.2025.11.042","article-title":"Twenty-five years of open type A aortic dissection repair: influence of surgical evolution and patient selection on outcomes","volume":"121","author":"Werner","year":"2026","journal-title":"Ann Thorac Surg"},{"issue":"5","key":"10.1016\/j.jtcvs.2026.04.054_bib14","doi-asserted-by":"crossref","first-page":"1340","DOI":"10.1016\/j.jtcvs.2016.01.018","article-title":"Adventitial inversion technique for type A aortic dissection distal anastomosis","volume":"151","author":"Oda","year":"2016","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"5","key":"10.1016\/j.jtcvs.2026.04.054_bib15","doi-asserted-by":"crossref","first-page":"e183","DOI":"10.1016\/j.athoracsur.2015.11.050","article-title":"Utility of proximal stepwise technique for acute aortic dissection involving the aortic root","volume":"101","author":"Inoue","year":"2016","journal-title":"Ann Thorac Surg"},{"issue":"6","key":"10.1016\/j.jtcvs.2026.04.054_bib16","doi-asserted-by":"crossref","first-page":"2143","DOI":"10.1016\/j.jtcvs.2019.06.016","article-title":"Factors associated with acute stroke after type A aortic dissection repair: an analysis of the Society of Thoracic Surgeons Adult Cardiac Surgery Database","volume":"159","author":"Ghoreishi","year":"2020","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"6","key":"10.1016\/j.jtcvs.2026.04.054_bib17","doi-asserted-by":"crossref","first-page":"2078","DOI":"10.1016\/j.athoracsur.2014.06.070","article-title":"Root replacement surgery versus more conservative management during type A acute aortic dissection repair","volume":"98","author":"Di Eusanio","year":"2014","journal-title":"Ann Thorac Surg"},{"issue":"3","key":"10.1016\/j.jtcvs.2026.04.054_bib18","doi-asserted-by":"crossref","first-page":"949","DOI":"10.1016\/j.jtcvs.2014.05.051","article-title":"Acute type A aortic dissection extending beyond ascending aorta: limited or extensive distal repair","volume":"148","author":"Ryiski","year":"2014","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.jtcvs.2026.04.054_bib19","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1016\/j.xjon.2025.06.019","article-title":"Limited versus extended arch replacement during acute type A aortic dissection repair for nonsyndromic patients with dissected arch vessels","volume":"27","author":"Kim","year":"2025","journal-title":"JTCVS Open"},{"issue":"4","key":"10.1016\/j.jtcvs.2026.04.054_bib20","first-page":"881","article-title":"Total arch repair versus hemiarch repair in the management of acute DeBakey type I aortic dissection","volume":"40","author":"Kim","year":"2011","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.1016\/j.jtcvs.2026.04.054_bib21","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1016\/j.xjon.2024.11.014","article-title":"Total aortic arch replacement versus proximal aortic repair for acute type A aortic dissection: a single-center 30-year experience","volume":"23","author":"de Oliveira Marreiros","year":"2024","journal-title":"JTCVS Open"},{"issue":"5","key":"10.1016\/j.jtcvs.2026.04.054_bib22","doi-asserted-by":"crossref","first-page":"674","DOI":"10.1016\/j.ejvs.2021.12.045","article-title":"Extending aortic replacement beyond the proximal arch in acute type A aortic dissection: a meta-analysis of short term outcomes and long term actuarial survival","volume":"63","author":"Heuts","year":"2022","journal-title":"Eur J Vasc Endovasc Surg"},{"issue":"6","key":"10.1016\/j.jtcvs.2026.04.054_bib23","doi-asserted-by":"crossref","first-page":"1104","DOI":"10.1093\/ejcts\/ezx214","article-title":"Extended versus limited arch replacement in acute type A aortic dissection","volume":"52","author":"Larsen","year":"2017","journal-title":"Eur J Cardiothorac Surg"},{"issue":"3","key":"10.1016\/j.jtcvs.2026.04.054_bib24","doi-asserted-by":"crossref","first-page":"873","DOI":"10.1016\/j.jtcvs.2020.10.160","article-title":"Is hemiarch replacement adequate in acute type A aortic dissection repair in patients with arch branch vessel dissection without cerebral malperfusion?","volume":"161","author":"Norton","year":"2021","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"3","key":"10.1016\/j.jtcvs.2026.04.054_bib25","doi-asserted-by":"crossref","first-page":"935","DOI":"10.1016\/j.jtcvs.2023.04.012","article-title":"Hemiarch versus extended arch repair for acute type A dissection: results from a multicenter national registry","volume":"167","author":"Elbatarny","year":"2024","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.jtcvs.2026.04.054_bib26","doi-asserted-by":"crossref","DOI":"10.1093\/ejcts\/ezac443","article-title":"The fate of down-stream aorta after total arch replacement","volume":"62","author":"Ikeno","year":"2022","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.1016\/j.jtcvs.2026.04.054_bib27","doi-asserted-by":"crossref","DOI":"10.1093\/ejcts\/ezac097","article-title":"Can preoperative features predict residual false lumen remodelling after tear-oriented limited resection for acute type I dissection?","volume":"62","author":"Kim","year":"2022","journal-title":"Eur J Cardiothorac Surg"},{"issue":"3","key":"10.1016\/j.jtcvs.2026.04.054_bib28","doi-asserted-by":"crossref","first-page":"746","DOI":"10.1016\/j.jtcvs.2023.09.069","article-title":"Branched stented anastomosis frozen elephant trunk repair: early results from a physician-sponsored investigational device exemption study","volume":"168","author":"Roselli","year":"2024","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.jtcvs.2026.04.054_bib29","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.xjtc.2022.10.011","article-title":"Total arch replacement with extended branched stented anastomosis frozen elephant trunk repair for type A dissection improves operative outcome","volume":"17","author":"Hashizume","year":"2022","journal-title":"JTCVS Tech"}],"container-title":["The Journal of Thoracic and Cardiovascular Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022522326009840?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022522326009840?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T08:12:18Z","timestamp":1790842338000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0022522326009840"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":29,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["S0022522326009840"],"URL":"https:\/\/doi.org\/10.1016\/j.jtcvs.2026.04.054","relation":{},"ISSN":["0022-5223"],"issn-type":[{"value":"0022-5223","type":"print"}],"subject":[],"published":{"date-parts":[[2026,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Extended arch replacement is associated with improved long-term outcomes in acute type A aortic dissection with ascending entry tear","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.2026.04.054","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 by The American Association for Thoracic Surgery","name":"copyright","label":"Copyright"}]}}