{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T01:28:30Z","timestamp":1786498110734,"version":"build-2736575974"},"reference-count":3,"publisher":"Georg Thieme Verlag KG","issue":"CP","license":[{"start":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T00:00:00Z","timestamp":1786406400000},"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>Patient factors can present formidable challenges in emergent aortic surgery. We report successful mechanical aortic root, ascending aorta, and Zone 2 arch replacement under hypothermic circulatory arrest in a 305\u2009kg patient with acute type A aortic dissection. A dual-oxygenator bypass circuit, proactive metabolic management, bilateral fasciotomies, and early renal replacement therapy were critical to a favorable outcome.<\/jats:p>","DOI":"10.1055\/a-2926-8670","type":"journal-article","created":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T00:52:49Z","timestamp":1786495969000},"source":"Crossref","is-referenced-by-count":0,"special_numbering":"S","title":["Successful Management of Acute Type A Aortic Dissection in a 305\u2009kg Patient Using Two Oxygenators in Parallel"],"prefix":"10.1055","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2516-5875","authenticated-orcid":false,"given":"Joseph C.","family":"Sweeney","sequence":"additional","affiliation":[{"name":"Wake Forest University School of Medicine, North Carolina, United States","place":["Winston Salem"],"department":["Department of Cardiothoracic Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew A.","family":"Tully","sequence":"additional","affiliation":[{"name":"Wake Forest University School of Medicine, North Carolina, United States","place":["Winston Salem"],"department":["Department of Cardiothoracic Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriel E.","family":"Cambronero","sequence":"additional","affiliation":[{"name":"Wake Forest University School of Medicine, North Carolina, United States","place":["Winston Salem"],"department":["Department of Cardiothoracic Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lorrie P.","family":"Graf","sequence":"additional","affiliation":[{"name":"Atrium Health Wake Forest Baptist, North Carolina, United States","place":["Winston Salem"],"department":["Department of Perfusion Services"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew D.","family":"Lee","sequence":"additional","affiliation":[{"name":"Atrium Health Wake Forest Baptist, North Carolina, United States","place":["Winston Salem"],"department":["Department of Perfusion Services"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven C.","family":"Eastlack","sequence":"additional","affiliation":[{"name":"Wake Forest University School of Medicine, North Carolina, United States","place":["Winston Salem"],"department":["Department of Anesthesiology"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-7941-4362","authenticated-orcid":false,"given":"Adrian L.","family":"Lata","sequence":"additional","affiliation":[{"name":"Wake Forest University School of Medicine, North Carolina, United States","place":["Winston Salem"],"department":["Department of Cardiothoracic Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,8,11]]},"reference":[{"issue":"01","key":"ref1","doi-asserted-by":"crossref","first-page":"7","DOI":"10.14503\/THIJ-17-6365","article-title":"Influence of body mass index on outcomes of patients undergoing surgery for acute aortic dissection: a propensity-matched analysis","volume":"46","author":"A Lio","year":"2019","journal-title":"Tex Heart Inst J"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"899050","DOI":"10.3389\/fcvm.2022.899050","article-title":"obesity increases in-hospital mortality of acute Type A aortic dissection patients undergoing open surgical repair: a retrospective study in the Chinese population","volume":"9","author":"X Pan","year":"2022","journal-title":"Front Cardiovasc Med"},{"issue":"01","key":"ref3","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1186\/s13019-022-02080-6","article-title":"Morbid obesity impacts mortality among inpatients with type A aortic dissection: an analysis of the national inpatient sample","volume":"18","author":"X Xu","year":"2023","journal-title":"J Cardiothorac Surg"}],"container-title":["AORTA"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2926-8670.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T00:52:50Z","timestamp":1786495970000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2926-8670"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,11]]},"references-count":3,"journal-issue":{"issue":"CP","published-online":{"date-parts":[[2026,3,26]]},"published-print":{"date-parts":[[2026]]}},"alternative-id":["a29268670"],"URL":"https:\/\/doi.org\/10.1055\/a-2926-8670","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2325-4637"],"issn-type":[{"value":"2325-4637","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,11]]}}}