{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T23:53:52Z","timestamp":1785887632636,"version":"3.56.0"},"reference-count":6,"publisher":"Georg Thieme Verlag KG","issue":"CP","license":[{"start":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T00:00:00Z","timestamp":1785801600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Aorta (Stamford)"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Porcelain aortic arch with coronary artery disease poses a major surgical challenge. We report a 66-year-old man with a large arch pseudoaneurysm, circumferential arch calcification, left common carotid artery thrombosis, and triple-vessel coronary disease who underwent single-stage total arch replacement with coronary artery bypass grafting. Surgery utilized axillary and femoral cannulation, hypothermic circulatory arrest, and selective antegrade cerebral perfusion. Complete recovery followed a transient postoperative neurological deficit, demonstrating feasibility of tailored open repair.<\/jats:p>","DOI":"10.1055\/a-2915-2888","type":"journal-article","created":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T23:34:34Z","timestamp":1785886474000},"source":"Crossref","is-referenced-by-count":0,"special_numbering":"S","title":["Aortic Arch Pseudoaneurysm with Porcelain Aortic Arch and Triple-Vessel Coronary Artery Disease: Single-Stage Total Arch Replacement with Coronary Artery Bypass Grafting"],"prefix":"10.1055","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-4564-7476","authenticated-orcid":false,"given":"Harikrishnan","family":"Radhakrishnan","sequence":"additional","affiliation":[{"name":"All India Institute of Medical Sciences, India","place":["New Delhi"],"department":["Department of Cardiothoracic and Vascular Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5675-2146","authenticated-orcid":false,"given":"Amitabh","family":"Satsangi","sequence":"additional","affiliation":[{"name":"All India Institute of Medical Sciences, India","place":["New Delhi"],"department":["Department of Cardiothoracic and Vascular Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-8254-9656","authenticated-orcid":false,"given":"Kanmaniyan","family":"Bala","sequence":"additional","affiliation":[{"name":"All India Institute of Medical Sciences, India","place":["New Delhi"],"department":["Department of Cardiothoracic and Vascular Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-9421-4350","authenticated-orcid":false,"given":"Shruti","family":"Jobalia","sequence":"additional","affiliation":[{"name":"All India Institute of Medical Sciences, India","place":["New Delhi"],"department":["Department of Cardiothoracic and Vascular Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9818-0649","authenticated-orcid":false,"given":"Arindam","family":"Choudhury","sequence":"additional","affiliation":[{"name":"All India Institute of Medical Sciences, India","place":["New Delhi"],"department":["Department of Cardiac Anaesthesia and Critical Care"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-1094-0235","authenticated-orcid":false,"given":"Harsh Anand","family":"Singh","sequence":"additional","affiliation":[{"name":"All India Institute of Medical Sciences, India","place":["New Delhi"],"department":["Department of Cardiovascular Radiology and Endovascular Interventions"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,8,4]]},"reference":[{"issue":"01","key":"ref1","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1093\/ejcts\/ezy313","article-title":"Current options and recommendations for the treatment of thoracic aortic pathologies involving the aortic arch: an expert consensus document of the European Association for Cardio-Thoracic surgery (EACTS) and the European Society for Vascular Surgery (ESVS)","volume":"55","author":"M Czerny","year":"2019","journal-title":"Eur J Cardiothorac Surg"},{"issue":"03","key":"ref2","first-page":"326","article-title":"Selective cerebral perfusion for cerebral protection: what we do know","volume":"2","author":"D Spielvogel","year":"2013","journal-title":"Ann Cardiothorac Surg"},{"issue":"06","key":"ref3","doi-asserted-by":"crossref","first-page":"1591","DOI":"10.1016\/j.jtcvs.2015.08.117","article-title":"Total aortic arch replacement: a comparative study of zone 0 hybrid arch exclusion versus traditional open repair","volume":"150","author":"O Preventza","year":"2015","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"06","key":"ref4","doi-asserted-by":"crossref","first-page":"572","DOI":"10.1007\/s12055-020-01013-z","article-title":"Surgical outcome of elective total arch replacement with coronary artery bypass grafting","volume":"36","author":"K I Imasaka","year":"2020","journal-title":"Indian J Thorac Cardiovasc Surg"},{"issue":"02","key":"ref5","doi-asserted-by":"crossref","first-page":"530","DOI":"10.1016\/j.athoracsur.2012.04.034","article-title":"Short and midterm outcomes of elective total aortic arch replacement combined with coronary artery bypass grafting","volume":"94","author":"K Okada","year":"2012","journal-title":"Ann Thorac Surg"},{"issue":"13","key":"ref6","first-page":"e266","article-title":"2010 ACCF\/AHA guidelines for thoracic aortic disease","volume":"121","author":"L F Hiratzka","year":"2010","journal-title":"Circulation"}],"container-title":["AORTA"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2915-2888.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T23:34:35Z","timestamp":1785886475000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2915-2888"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,4]]},"references-count":6,"journal-issue":{"issue":"CP","published-online":{"date-parts":[[2026,3,26]]},"published-print":{"date-parts":[[2026]]}},"alternative-id":["a29152888"],"URL":"https:\/\/doi.org\/10.1055\/a-2915-2888","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2325-4637"],"issn-type":[{"value":"2325-4637","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,4]]}}}