{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T23:58:44Z","timestamp":1790294324240,"version":"4.1.0"},"reference-count":20,"publisher":"Georg Thieme Verlag KG","license":[{"start":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T00:00:00Z","timestamp":1790208000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Thorac Cardiovasc Surg"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Survival after acute aortic dissection (AD) has improved substantially, shifting attention to long-term recovery. Although reduced quality of life and psychological distress are documented, less is known about how survivors experience their bodies after a life-threatening event. We developed After the Storm, a participatory sound-based cocreation project, and examined experiences of bodily awareness, vigilance, sound, and silence emerging during codesign.<\/jats:p>\n                  <jats:p>This qualitative study was embedded within the codesign phase of After the Storm. Twenty-three survivors of acute AD participated across two cocreation sessions (an initial group of 14 and a second After the Storm session of 9). Data generated throughout the process, recruitment responses, follow-up correspondence, workshop discussions, reflective conversations, listening exercises, and field notes, were analyzed using reflexive thematic analysis.<\/jats:p>\n                  <jats:p>Participants described recovery as extending beyond physical healing, involving a fundamental change in their relationship with their bodies. Five interconnected themes emerged: (1) a body that can no longer be taken for granted, (2) living in vigilance, (3) the invisible burden of recovery, (4) sound, silence, and recognition, and (5) rebuilding life after the storm. Participants reported heightened awareness of bodily sensations, persistent attentiveness to physical signals, and difficulty communicating recovery to others. Many felt strong recognition in the focus on listening, sound, and silence, capturing aspects of recovery difficult to articulate clinically.<\/jats:p>\n                  <jats:p>Recovery after AD involves dimensions of bodily awareness, vigilance, and meaning-making not fully reflected in existing clinical frameworks. A participatory sound-based codesign process offered a novel space in which these experiences could be explored, shared, and recognized, suggesting arts-based approaches may capture aspects of survivorship that conventional patient-reported outcomes miss.<\/jats:p>","DOI":"10.1055\/a-2960-9495","type":"journal-article","created":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T23:03:52Z","timestamp":1790291032000},"source":"Crossref","is-referenced-by-count":0,"title":["Listening to the Body after Aortic Dissection: A Participatory Sound-Based Co-Creation Project"],"prefix":"10.1055","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9981-8336","authenticated-orcid":false,"given":"Nimrat","family":"Grewal","sequence":"additional","affiliation":[{"name":"Amsterdam University Medical Center Location AMC, The Netherlands","place":["Amsterdam"],"department":["Department of Cardiothoracic Surgery"]},{"name":"Aortic Institute at Yale New Haven Hospital, Department of Cardiothoracic Surgery, Yale University School of Medicine, Connecticut, United States","place":["New Haven"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,9,24]]},"reference":[{"issue":"03","key":"ref1","doi-asserted-by":"crossref","first-page":"859","DOI":"10.3390\/jcm14030859","article-title":"From survival to recovery: understanding the life impact of an acute aortic dissection through activity, sleep, and quality of life","volume":"14","author":"N Bacour","year":"2025","journal-title":"J Clin Med"},{"issue":"02","key":"ref2","doi-asserted-by":"crossref","first-page":"78","DOI":"10.3390\/jcdd12020078","article-title":"Beyond survival: assessing quality of life, activity level, and ethnic diversity in aortic dissection survivors","volume":"12","author":"N Bacour","year":"2025","journal-title":"J Cardiovasc Dev Dis"},{"issue":"20","key":"ref3","doi-asserted-by":"crossref","first-page":"12","DOI":"10.3390\/jcm12206584","article-title":"What really matters to survivors of acute type A aortic dissection-a survey of patient-reported outcomes in the Dutch National Aortic Dissection Advocacy Group","volume":"12","author":"J S Breel","year":"2023","journal-title":"J Clin Med"},{"issue":"08","key":"ref4","doi-asserted-by":"crossref","first-page":"13","DOI":"10.3390\/jcm13082265","article-title":"Long-term health-related quality of life following acute type A aortic dissection with a focus on male-female differences: a cross sectional study","volume":"13","author":"F Meccanici","year":"2024","journal-title":"J Clin Med"},{"issue":"03","key":"ref5","doi-asserted-by":"crossref","first-page":"332","DOI":"10.1016\/j.ejvs.2023.05.037","article-title":"Long term health related quality of life after acute type B aortic dissection: a cross sectional survey study","volume":"66","author":"F Meccanici","year":"2023","journal-title":"Eur J Vasc Endovasc Surg"},{"issue":"03","key":"ref6","first-page":"465","article-title":"Long-term outcome and quality of life following emergency surgery for acute aortic dissection type A: a comparison between young and elderly adults","volume":"51","author":"J Jussli-Melchers","year":"2017","journal-title":"Eur J Cardiothorac Surg"},{"issue":"01","key":"ref7","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1093\/icvts\/ivy036","article-title":"Health-related quality of life of patients after surgery for acute Type A aortic dissection","volume":"27","author":"U Adam","year":"2018","journal-title":"Interact Cardiovasc Thorac Surg"},{"issue":"11","key":"ref8","doi-asserted-by":"crossref","first-page":"647","DOI":"10.1002\/clc.22481","article-title":"Exercise and physical activity for the post-aortic dissection patient: the clinician's conundrum","volume":"38","author":"A Chaddha","year":"2015","journal-title":"Clin Cardiol"},{"issue":"03","key":"ref9","doi-asserted-by":"crossref","first-page":"e15447","DOI":"10.2196\/15447","article-title":"Perceived need for psychosocial support after aortic dissection: cross-sectional survey","volume":"12","author":"G Meinlschmidt","year":"2020","journal-title":"J Particip Med"},{"issue":"05","key":"ref10","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1055\/s-0041-1731403","article-title":"From court to couch: exercise and quality of life after acute type A aortic dissection","volume":"9","author":"S R Pasadyn","year":"2021","journal-title":"Aorta (Stamford)"},{"issue":"09","key":"ref11","doi-asserted-by":"crossref","first-page":"e015060","DOI":"10.1161\/JAHA.119.015060","article-title":"From tear to fear: posttraumatic stress disorder in patients with acute Type A aortic dissection","volume":"9","author":"S R Pasadyn","year":"2020","journal-title":"J Am Heart 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A scoping review","volume":"2020","author":"S Clift","year":"2019","journal-title":"Nordic J Arts Culture and Health"},{"issue":"01","key":"ref16","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1136\/openhrt-2020-001474","article-title":"Music intervention to relieve anxiety and pain in adults undergoing cardiac surgery: a systematic review and meta-analysis","volume":"8","author":"E Kakar","year":"2021","journal-title":"Open Heart"},{"issue":"07","key":"ref17","doi-asserted-by":"crossref","first-page":"773","DOI":"10.1002\/bjs.10853","article-title":"Meta-analysis evaluating music interventions for anxiety and pain in surgery","volume":"105","author":"A YR K\u00fchlmann","year":"2018","journal-title":"Br J Surg"},{"issue":"01","key":"ref18","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1186\/s12871-024-02732-1","article-title":"The effectiveness of music in improving the recovery of cardiothoracic surgery: a systematic review with meta-analysis and trial sequential analysis","volume":"24","author":"T Li","year":"2024","journal-title":"BMC Anesthesiol"},{"issue":"13","key":"ref19","doi-asserted-by":"crossref","first-page":"1753","DOI":"10.1177\/1049732315617444","article-title":"Sample size in qualitative interview studies: guided by information power","volume":"26","author":"K Malterud","year":"2016","journal-title":"Qual Health Res"},{"issue":"06","key":"ref20","first-page":"2011","article-title":"Reflexive thematic analysis for applied qualitative health research","volume":"26","author":"K Campbell","year":"2021","journal-title":"Qual Rep"}],"container-title":["The Thoracic and Cardiovascular Surgeon"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2960-9495.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T23:04:01Z","timestamp":1790291041000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2960-9495"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,24]]},"references-count":20,"URL":"https:\/\/doi.org\/10.1055\/a-2960-9495","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0171-6425","1439-1902"],"issn-type":[{"value":"0171-6425","type":"print"},{"value":"1439-1902","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,24]]}}}