{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T02:27:03Z","timestamp":1783650423817,"version":"3.55.0"},"reference-count":30,"publisher":"Elsevier BV","issue":"7","license":[{"start":{"date-parts":[[2024,7,1]],"date-time":"2024-07-01T00:00:00Z","timestamp":1719792000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,7,1]],"date-time":"2024-07-01T00:00:00Z","timestamp":1719792000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,7,1]],"date-time":"2024-07-01T00:00:00Z","timestamp":1719792000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2024,7,1]],"date-time":"2024-07-01T00:00:00Z","timestamp":1719792000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2024,7,1]],"date-time":"2024-07-01T00:00:00Z","timestamp":1719792000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2024,7,1]],"date-time":"2024-07-01T00:00:00Z","timestamp":1719792000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2024,7,1]],"date-time":"2024-07-01T00:00:00Z","timestamp":1719792000000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.fr","clinicalkey.jp","clinicalkey.es","clinicalkey.com.au","clinicalkey.com","jcardioanesthesia.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Cardiothoracic and Vascular Anesthesia"],"published-print":{"date-parts":[[2024,7]]},"DOI":"10.1053\/j.jvca.2024.03.018","type":"journal-article","created":{"date-parts":[[2024,3,16]],"date-time":"2024-03-16T07:05:24Z","timestamp":1710572724000},"page":"1558-1568","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":9,"title":["Incidence Rates of Penn Classes and Class-Specific Mortality in Acute Type A Aortic Dissection Patients: An Epidemiologic Systematic Review and Meta-Analysis"],"prefix":"10.1053","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4424-1394","authenticated-orcid":false,"given":"Ashwini","family":"Chandiramani","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed","family":"Al-Tawil","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tharun","family":"Rajasekar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Assem","family":"Elleithy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sahil","family":"Kakar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Assad","family":"Haneya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed","family":"Zeinah","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5507-5841","authenticated-orcid":false,"given":"Amer","family":"Harky","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1053\/j.jvca.2024.03.018_bib0001","doi-asserted-by":"crossref","first-page":"897","DOI":"10.1001\/jama.283.7.897","article-title":"The International Registry of Acute Aortic Dissection (IRAD): New insights into an old disease","volume":"283","author":"Hagan","year":"2000","journal-title":"JAMA"},{"key":"10.1053\/j.jvca.2024.03.018_bib0002","series-title":"StatPearls [Internet]","article-title":"Aortic dissection","author":"Levy","year":"2024"},{"key":"10.1053\/j.jvca.2024.03.018_bib0003","doi-asserted-by":"crossref","first-page":"130","DOI":"10.1016\/S0022-5223(19)33323-9","article-title":"Surgical management of dissecting aneurysms of the aorta","volume":"49","author":"De Bakey","year":"1965","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1053\/j.jvca.2024.03.018_bib0004","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1080\/AC.71.2.3141855","article-title":"Penn classification in acute aortic dissection patients","volume":"71","author":"Pisano","year":"2016","journal-title":"Acta Cardiol"},{"key":"10.1053\/j.jvca.2024.03.018_bib0005","doi-asserted-by":"crossref","first-page":"867","DOI":"10.1053\/j.jvca.2019.08.036","article-title":"The Penn classification predicts hospital mortality in acute Stanford type A and type B aortic dissections","volume":"34","author":"Tien","year":"2020","journal-title":"J Cardiothorac Vasc Anesth"},{"key":"10.1053\/j.jvca.2024.03.018_bib0006","doi-asserted-by":"crossref","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"},{"key":"10.1053\/j.jvca.2024.03.018_bib0007","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","volume":"65","author":"Czerny","year":"2015","journal-title":"J Am Coll Cardiol"},{"key":"10.1053\/j.jvca.2024.03.018_bib0008","doi-asserted-by":"crossref","first-page":"1288","DOI":"10.1016\/j.jtcvs.2008.01.026","article-title":"Operative delay for peripheral malperfusion syndrome in acute type A aortic dissection: A long-term analysis","volume":"135","author":"Patel","year":"2008","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1053\/j.jvca.2024.03.018_bib0009","doi-asserted-by":"crossref","first-page":"140","DOI":"10.1038\/ncpcardio1417","article-title":"Observational study of mortality risk stratification by ischemic presentation in patients with acute type A aortic dissection: The Penn classification","volume":"6","author":"Augoustides","year":"2009","journal-title":"Nat Clin Pract Cardiovasc Med"},{"key":"10.1053\/j.jvca.2024.03.018_bib0010","doi-asserted-by":"crossref","first-page":"363","DOI":"10.1111\/j.1540-8191.2006.00246.x","article-title":"Impact of organ malperfusion on mortality and morbidity in acute type A aortic dissections","volume":"21","author":"Yagdi","year":"2006","journal-title":"J Cardiac Surg"},{"key":"10.1053\/j.jvca.2024.03.018_bib0011","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1016\/j.jtcvs.2017.03.041","article-title":"Malperfusion rather than merely timing of operative repair determines early and late outcome in type A aortic dissection","volume":"154","author":"Narayan","year":"2017","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1053\/j.jvca.2024.03.018_bib0012","doi-asserted-by":"crossref","first-page":"820","DOI":"10.1093\/ejcts\/ezs500","article-title":"Acute type A aortic dissection: Significance of multiorgan malperfusion","volume":"43","author":"Pacini","year":"2012","journal-title":"Eu J Cardiothorac Surg"},{"key":"10.1053\/j.jvca.2024.03.018_bib0013","doi-asserted-by":"crossref","first-page":"724","DOI":"10.1016\/j.amjcard.2013.11.017","article-title":"Utility of the Penn classification in predicting outcomes of surgery for acute type A aortic dissection","volume":"113","author":"Kimura","year":"2014","journal-title":"Am J Cardiol"},{"key":"10.1053\/j.jvca.2024.03.018_bib0014","doi-asserted-by":"crossref","first-page":"1376","DOI":"10.1016\/j.athoracsur.2011.05.011","article-title":"Mortality in acute type A aortic dissection: Validation of the Penn classification","volume":"92","author":"Olsson","year":"2011","journal-title":"Ann Thorac Surg"},{"key":"10.1053\/j.jvca.2024.03.018_bib0015","doi-asserted-by":"crossref","first-page":"1759","DOI":"10.1016\/j.athoracsur.2018.05.072","article-title":"A novel risk score predicts operative mortality after acute type A aortic dissection repair","volume":"106","author":"Ghoreishi","year":"2018","journal-title":"Ann Thorac Surg"},{"key":"10.1053\/j.jvca.2024.03.018_bib0016","doi-asserted-by":"crossref","first-page":"1391","DOI":"10.1016\/j.athoracsur.2019.04.047","article-title":"Influence of age and the burden of ischemic injury on the outcome of type A aortic dissection repair","volume":"108","author":"Kreibich","year":"2019","journal-title":"Ann Thorac Surg"},{"key":"10.1053\/j.jvca.2024.03.018_bib0017","doi-asserted-by":"crossref","first-page":"583","DOI":"10.1093\/icvts\/ivv198","article-title":"Generalized ischaemia in type A aortic dissections predicts early surgical outcomes only","volume":"21","author":"Danielsson","year":"2015","journal-title":"Interact Cardiovasc Thorac Surg"},{"key":"10.1053\/j.jvca.2024.03.018_bib0018","doi-asserted-by":"crossref","first-page":"117","DOI":"10.12945\/j.aorta.2017.17.045","article-title":"Modifiable risk factors for early mortality in low-risk Penn class AA acute type A aortic dissection patients \u2013 A descriptive study","volume":"05","author":"Olsson","year":"2017","journal-title":"Aorta"},{"key":"10.1053\/j.jvca.2024.03.018_bib0019","doi-asserted-by":"crossref","first-page":"352","DOI":"10.3109\/14017431.2013.845307","article-title":"Impact of organ failure and major complications on outcome in acute type A aortic dissection","volume":"47","author":"Olsson","year":"2013","journal-title":"Scand Cardiovasc J"},{"key":"10.1053\/j.jvca.2024.03.018_bib0020","doi-asserted-by":"crossref","first-page":"874","DOI":"10.1053\/j.jvca.2019.12.037","article-title":"Acute aortic dissection\u2014Refining contemporary outcomes with the Penn classification for this aortic emergency","volume":"34","author":"Al-Ghofaily","year":"2020","journal-title":"J Cardiothorac Vasc Anesth"},{"key":"10.1053\/j.jvca.2024.03.018_bib0021","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1053\/j.semtcvs.2016.10.017","article-title":"Malperfusion in type A dissection: Consider reperfusion first","volume":"29","author":"Goldberg","year":"2017","journal-title":"Semin Thorac Cardiovasc Surg"},{"key":"10.1053\/j.jvca.2024.03.018_bib0022","doi-asserted-by":"crossref","first-page":"404","DOI":"10.1093\/ejcts\/ezs229","article-title":"Editorial comment: The heart team approach to acute type A dissection: A new paradigm in the era of the integrated Penn classification and the Essen concept","volume":"43","author":"Augoustides","year":"2012","journal-title":"Eu J Cardiothorac Surg"},{"key":"10.1053\/j.jvca.2024.03.018_bib0023","doi-asserted-by":"crossref","first-page":"1585","DOI":"10.1016\/j.athoracsur.2007.06.045","article-title":"Is emergency total arch replacement with a modified elephant trunk technique justified for acute type A aortic dissection?","volume":"84","author":"Watanuki","year":"2007","journal-title":"Ann Thorac Surg"},{"key":"10.1053\/j.jvca.2024.03.018_bib0024","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":"Rylski","year":"2014","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1053\/j.jvca.2024.03.018_bib0025","first-page":"591109","article-title":"Evaluation of the GERAADA score for prediction of 30-day mortality in patients with acute type A aortic dissection","author":"Luehr","year":"2020","journal-title":"Eu J Cardiothorac Surg"},{"key":"10.1053\/j.jvca.2024.03.018_bib0026","doi-asserted-by":"crossref","first-page":"ezad141","DOI":"10.1093\/ejcts\/ezad141","article-title":"Validation of the German registry for Acute Aortic Dissection Type A score in predicting 30-day mortality after type A aortic dissection surgery","volume":"63","author":"Gemelli","year":"2023","journal-title":"Eu J Cardiothorac Surg"},{"key":"10.1053\/j.jvca.2024.03.018_bib0027","doi-asserted-by":"crossref","first-page":"984","DOI":"10.1016\/j.jtcvs.2021.03.102","article-title":"Impact of time from symptom onset to operation on outcome of repair of acute type A aortic dissection with malperfusion","volume":"165","author":"Nakai","year":"2023","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1053\/j.jvca.2024.03.018_bib0028","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1016\/j.ejcts.2007.04.012","article-title":"Significance of malperfusion syndromes prior to contemporary surgical repair for acute type A dissection: Outcomes and need for additional revascularizations","volume":"32","author":"Geirsson","year":"2007","journal-title":"Eu J Cardiothorac Surg"},{"key":"10.1053\/j.jvca.2024.03.018_bib0029","doi-asserted-by":"crossref","unstructured":"Wolfe SB, Sundt TM, Isselbacher EM, et al. Survival after operative repair of acute type a aortic dissection varies according to the presence and type of preoperative malperfusion. J Thorac Cardiovasc Surg. https:\/\/doi.org\/10.1016\/j.jtcvs.2022.09.034. Accessed October 1, 2023.","DOI":"10.1016\/j.jtcvs.2022.09.034"},{"key":"10.1053\/j.jvca.2024.03.018_bib0030","doi-asserted-by":"crossref","first-page":"151","DOI":"10.21037\/jovs.2018.07.05","article-title":"The changing surgical approach to acute type A aortic dissection","volume":"4","author":"Harky","year":"2018","journal-title":"J Vis Surg"}],"container-title":["Journal of Cardiothoracic and Vascular Anesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1053077024001848?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1053077024001848?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2024,6,12]],"date-time":"2024-06-12T03:22:43Z","timestamp":1718162563000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1053077024001848"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7]]},"references-count":30,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2024,7]]}},"alternative-id":["S1053077024001848"],"URL":"https:\/\/doi.org\/10.1053\/j.jvca.2024.03.018","relation":{},"ISSN":["1053-0770"],"issn-type":[{"value":"1053-0770","type":"print"}],"subject":[],"published":{"date-parts":[[2024,7]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Incidence Rates of Penn Classes and Class-Specific Mortality in Acute Type A Aortic Dissection Patients: An Epidemiologic Systematic Review and Meta-Analysis","name":"articletitle","label":"Article Title"},{"value":"Journal of Cardiothoracic and Vascular Anesthesia","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1053\/j.jvca.2024.03.018","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2024 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}