{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T21:07:26Z","timestamp":1788815246991,"version":"build-2803163510"},"reference-count":29,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T00:00:00Z","timestamp":1773619200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003478","name":"Ministry of Health, Labour and Welfare","doi-asserted-by":"publisher","award":["23AA2003"],"award-info":[{"award-number":["23AA2003"]}],"id":[{"id":"10.13039\/501100003478","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003478","name":"Ministry of Health, Labour and Welfare","doi-asserted-by":"publisher","award":["24AA2006"],"award-info":[{"award-number":["24AA2006"]}],"id":[{"id":"10.13039\/501100003478","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.jp","jtcvsopen.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["JTCVS Open"],"published-print":{"date-parts":[[2026,6]]},"DOI":"10.1016\/j.xjon.2026.101733","type":"journal-article","created":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T01:11:45Z","timestamp":1773969105000},"page":"101733","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"special_numbering":"C","title":["Nationwide trends in outcomes and resource utilization in surgically treated acute type A aortic dissection with coronary malperfusion"],"prefix":"10.1016","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3105-9692","authenticated-orcid":false,"given":"Kentaro","family":"Fukano","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yusuke","family":"Sasabuchi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroki","family":"Matsui","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2071-3898","authenticated-orcid":false,"given":"Yusuke","family":"Iizuka","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atsushi","family":"Yamaguchi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masamitsu","family":"Sanui","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hideo","family":"Yasunaga","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"24","key":"10.1016\/j.xjon.2026.101733_bib1","doi-asserted-by":"crossref","first-page":"e334","DOI":"10.1161\/CIR.0000000000001106","article-title":"2022 ACC\/AHA guideline for the diagnosis and management of aortic disease: a report of the American Heart Association\/American College of Cardiology Joint Committee on Clinical Practice Guidelines","volume":"146","author":"Isselbacher","year":"2022","journal-title":"Circulation"},{"issue":"1","key":"10.1016\/j.xjon.2026.101733_bib2","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1016\/j.jtcvs.2004.09.005","article-title":"Contemporary results of surgery in acute type A aortic dissection: the International Registry of Acute Aortic Dissection experience","volume":"129","author":"Trimarchi","year":"2005","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"14","key":"10.1016\/j.xjon.2026.101733_bib3","doi-asserted-by":"crossref","first-page":"1703","DOI":"10.1016\/j.jacc.2020.07.061","article-title":"Type A aortic dissection-experience over 5 decades: JACC historical breakthroughs in perspective","volume":"76","author":"Zhu","year":"2020","journal-title":"J Am Coll Cardiol"},{"issue":"17","key":"10.1016\/j.xjon.2026.101733_bib4","doi-asserted-by":"crossref","first-page":"1846","DOI":"10.1161\/CIRCULATIONAHA.117.031264","article-title":"Insights from the International Registry of Acute Aortic Dissection: a 20-year experience of collaborative clinical research","volume":"137","author":"Evangelista","year":"2018","journal-title":"Circulation"},{"issue":"24","key":"10.1016\/j.xjon.2026.101733_bib5","doi-asserted-by":"crossref","first-page":"2628","DOI":"10.1016\/j.jacc.2015.04.030","article-title":"The impact of pre-operative malperfusion on outcome in acute type A aortic dissection: results from the GERAADA registry","volume":"65","author":"Czerny","year":"2015","journal-title":"J Am Coll Cardiol"},{"issue":"1","key":"10.1016\/j.xjon.2026.101733_bib6","doi-asserted-by":"crossref","DOI":"10.1093\/bjsopen\/zrae146","article-title":"Organ-specific malperfusion in acute type A aortic dissection: epidemiological meta-analysis of incidence rates","volume":"9","author":"Chandiramani","year":"2024","journal-title":"BJS Open"},{"issue":"7","key":"10.1016\/j.xjon.2026.101733_bib7","doi-asserted-by":"crossref","first-page":"594","DOI":"10.1007\/s11748-019-01072-z","article-title":"Malperfusion in type A aortic dissection: results of emergency central aortic repair","volume":"67","author":"Kawahito","year":"2019","journal-title":"Gen Thorac Cardiovasc Surg"},{"issue":"6","key":"10.1016\/j.xjon.2026.101733_bib8","doi-asserted-by":"crossref","first-page":"1363","DOI":"10.1016\/j.jtcvs.2009.04.059","article-title":"Surgical risk of preoperative malperfusion in acute type A aortic dissection","volume":"138","author":"Girdauskas","year":"2009","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"5","key":"10.1016\/j.xjon.2026.101733_bib9","doi-asserted-by":"crossref","first-page":"1471","DOI":"10.1016\/S0003-4975(03)00899-3","article-title":"Coronary malperfusion due to type A aortic dissection: mechanism and surgical management","volume":"76","author":"Kawahito","year":"2003","journal-title":"Ann Thorac Surg"},{"issue":"3","key":"10.1016\/j.xjon.2026.101733_bib10","doi-asserted-by":"crossref","first-page":"419","DOI":"10.1093\/ejcts\/ezt060","article-title":"Risk analysis and improvement of strategies in patients who have acute type A aortic dissection with coronary artery dissection","volume":"44","author":"Imoto","year":"2013","journal-title":"Eur J Cardiothorac Surg"},{"issue":"4","key":"10.1016\/j.xjon.2026.101733_bib11","doi-asserted-by":"crossref","first-page":"1324","DOI":"10.1016\/j.jtcvs.2018.10.134","article-title":"Malperfusion in acute type A aortic dissection: an update from the Nordic Consortium for Acute Type A Aortic Dissection","volume":"157","author":"Zindovic","year":"2019","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"2","key":"10.1016\/j.xjon.2026.101733_bib12","doi-asserted-by":"crossref","first-page":"596","DOI":"10.1016\/j.jtcvs.2022.03.016","article-title":"Treatment strategies and in-hospital mortality in patients with type A acute aortic dissection and coronary artery involvement","volume":"167","author":"Hashimoto","year":"2024","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"2","key":"10.1016\/j.xjon.2026.101733_bib13","doi-asserted-by":"crossref","first-page":"483","DOI":"10.1016\/j.jtcvs.2018.02.007","article-title":"Early reperfusion strategy improves the outcomes of surgery for type A acute aortic dissection with malperfusion","volume":"156","author":"Uchida","year":"2018","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"3","key":"10.1016\/j.xjon.2026.101733_bib14","doi-asserted-by":"crossref","first-page":"76","DOI":"10.37737\/ace.1.3_76","article-title":"Real world data in Japan: chapter II the diagnosis procedure combination database","volume":"1","author":"Yasunaga","year":"2019","journal-title":"Ann Clin Epidemiol"},{"issue":"10","key":"10.1016\/j.xjon.2026.101733_bib15","doi-asserted-by":"crossref","first-page":"476","DOI":"10.1016\/j.je.2016.09.009","article-title":"Validity of diagnoses, procedures, and laboratory data in Japanese administrative data","volume":"27","author":"Yamana","year":"2017","journal-title":"J Epidemiol"},{"issue":"3_suppl","key":"10.1016\/j.xjon.2026.101733_bib16","first-page":"S21","article-title":"Current status of the management and outcomes of acute aortic dissection in Japan: analyses of nationwide Japanese Registry of all Cardiac and Vascular Diseases-Diagnostic Procedure Combination data","volume":"9","author":"Yamaguchi","year":"2020","journal-title":"Eur Heart J Acute Cardiovasc Care"},{"issue":"3","key":"10.1016\/j.xjon.2026.101733_bib17","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1253\/circrep.CR-21-0004","article-title":"Validation of acute myocardial infarction and heart failure diagnoses in hospitalized patients with the nationwide claim-based JROAD-DPC database","volume":"3","author":"Nakai","year":"2021","journal-title":"Circ Rep"},{"issue":"6","key":"10.1016\/j.xjon.2026.101733_bib18","doi-asserted-by":"crossref","first-page":"676","DOI":"10.1093\/aje\/kwq433","article-title":"Updating and validating the Charlson comorbidity index and score for risk adjustment in hospital discharge abstracts using data from 6 countries","volume":"173","author":"Quan","year":"2011","journal-title":"Am J Epidemiol"},{"issue":"4","key":"10.1016\/j.xjon.2026.101733_bib19","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2013-002736","article-title":"The eye response test alone is sufficient to predict stroke outcome--reintroduction of Japan Coma Scale: a cohort study","volume":"3","author":"Shigematsu","year":"2013","journal-title":"BMJ Open"},{"issue":"2","key":"10.1016\/j.xjon.2026.101733_bib20","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1161\/CIRCULATIONAHA.110.958975","article-title":"Acute aortic dissection: clinician update","volume":"122","author":"Braverman","year":"2010","journal-title":"Circulation"},{"issue":"10378","key":"10.1016\/j.xjon.2026.101733_bib21","doi-asserted-by":"crossref","first-page":"773","DOI":"10.1016\/S0140-6736(22)01970-5","article-title":"Acute aortic dissection","volume":"401","author":"Carrel","year":"2023","journal-title":"Lancet"},{"key":"10.1016\/j.xjon.2026.101733_bib22","article-title":"Preoperative coronary angiography and outcomes in acute type A aortic dissection with coronary malperfusion: a retrospective cohort study","author":"Fukano","year":"2025","journal-title":"Cardiovasc Revasc Med"},{"issue":"6","key":"10.1016\/j.xjon.2026.101733_bib23","doi-asserted-by":"crossref","first-page":"1693","DOI":"10.3390\/jcm11061693","article-title":"Coronary malperfusion secondary to acute type A aortic dissection: surgical management based on a modified Neri classification","volume":"11","author":"Tong","year":"2022","journal-title":"J Clin Med"},{"key":"10.1016\/j.xjon.2026.101733_bib24","doi-asserted-by":"crossref","first-page":"65","DOI":"10.21037\/jovs.2018.03.13","article-title":"Malperfusion syndromes in type A aortic dissection: what we have learned from IRAD","volume":"4","author":"Berretta","year":"2018","journal-title":"J Visc Surg"},{"issue":"15","key":"10.1016\/j.xjon.2026.101733_bib25","doi-asserted-by":"crossref","first-page":"1155","DOI":"10.1161\/CIRCULATIONAHA.124.071088","article-title":"Challenges and opportunities in aortic dissection: the journey to personalized medicine","volume":"150","author":"Hofmann Bowman","year":"2024","journal-title":"Circulation"},{"issue":"24","key":"10.1016\/j.xjon.2026.101733_bib26","doi-asserted-by":"crossref","first-page":"2114","DOI":"10.1161\/CIRCULATIONAHA.115.015334","article-title":"Incidence, management, and immediate- and long-term outcomes after iatrogenic aortic dissection during diagnostic or interventional coronary procedures","volume":"131","author":"N\u00fa\u00f1ez-Gil","year":"2015","journal-title":"Circulation"},{"issue":"10","key":"10.1016\/j.xjon.2026.101733_bib27","doi-asserted-by":"crossref","first-page":"3050","DOI":"10.1053\/j.jvca.2020.07.084","article-title":"Iatrogenic aortic dissection associated with cardiac surgery: a narrative review","volume":"35","author":"Ram","year":"2021","journal-title":"J Cardiothorac Vasc Anesth"},{"issue":"2","key":"10.1016\/j.xjon.2026.101733_bib28","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1093\/ejcts\/ezt055","article-title":"Iatrogenic acute aortic dissection type A: insight from the German Registry for Acute Aortic Dissection Type A (GERAADA)","volume":"44","author":"Rylski","year":"2013","journal-title":"Eur J Cardiothorac Surg"},{"issue":"3","key":"10.1016\/j.xjon.2026.101733_bib29","doi-asserted-by":"crossref","first-page":"521","DOI":"10.1016\/j.jtcvs.2016.10.064","article-title":"Postoperative myocardial infarction in acute type A aortic dissection: a report from the International Registry of Acute Aortic Dissection","volume":"153","author":"Waterford","year":"2017","journal-title":"J Thorac Cardiovasc Surg"}],"container-title":["JTCVS Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2666273626001567?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2666273626001567?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T10:04:47Z","timestamp":1783591487000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2666273626001567"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6]]},"references-count":29,"alternative-id":["S2666273626001567"],"URL":"https:\/\/doi.org\/10.1016\/j.xjon.2026.101733","relation":{},"ISSN":["2666-2736"],"issn-type":[{"value":"2666-2736","type":"print"}],"subject":[],"published":{"date-parts":[[2026,6]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Nationwide trends in outcomes and resource utilization in surgically treated acute type A aortic dissection with coronary malperfusion","name":"articletitle","label":"Article Title"},{"value":"JTCVS Open","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.xjon.2026.101733","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Author(s). Published by Elsevier Inc. on behalf of The American Association for Thoracic Surgery.","name":"copyright","label":"Copyright"}],"article-number":"101733"}}