{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T22:58:29Z","timestamp":1788562709079,"version":"build-2803163510"},"reference-count":25,"publisher":"Georg Thieme Verlag KG","issue":"04","license":[{"start":{"date-parts":[[2022,12,15]],"date-time":"2022-12-15T00:00:00Z","timestamp":1671062400000},"content-version":"vor","delay-in-days":136,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Aorta (Stamford)"],"published-print":{"date-parts":[[2022,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Iatrogenic aortic dissection (IAD) is a rare but devastating complication in cardiac surgery and related procedures. Due to its rarity, published data on emergency surgery following IAD are limited. Herein, we discuss IAD occurring intra- and postoperatively, including those occurring during transcatheter aortic valve replacement and cardiac catheterization, and present benchmark data from our consecutive, single-center experience. We demonstrate changes in patient characteristics, surgical approaches, and outcomes over a 23-year period.<\/jats:p>","DOI":"10.1055\/s-0042-1756670","type":"journal-article","created":{"date-parts":[[2022,12,16]],"date-time":"2022-12-16T00:31:17Z","timestamp":1671150677000},"page":"201-209","source":"Crossref","is-referenced-by-count":12,"title":["Iatrogenic Type A Aortic Dissection: Challenges and Frontiers\u2014Contemporary Single Center Data and Clinical Perspective"],"prefix":"10.1055","volume":"10","author":[{"given":"Konstantin","family":"von Aspern","sequence":"additional","affiliation":[{"name":"University Department for Cardiac Surgery, Leipzig Heart Center, Leipzig, Saxony, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sergey","family":"Leontyev","sequence":"additional","affiliation":[{"name":"University Department for Cardiac Surgery, Leipzig Heart Center, Leipzig, Saxony, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian D.","family":"Etz","sequence":"additional","affiliation":[{"name":"University Department for Cardiac Surgery, Leipzig Heart Center, Leipzig, Saxony, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Josephina","family":"Haunschild","sequence":"additional","affiliation":[{"name":"University Department for Cardiac Surgery, Leipzig Heart Center, Leipzig, Saxony, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Misfeld","sequence":"additional","affiliation":[{"name":"University Department for Cardiac Surgery, Leipzig Heart Center, Leipzig, Saxony, Germany"},{"name":"Department of Cardiothoracic Surgery, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia"},{"name":"Department of Cardiac Surgery, Sydney Medical School, University of Sydney, Sydney, New South Wales, Australia"},{"name":"Institute of Academic Surgery, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia"},{"name":"The Baird Institute of Applied Heart and Lung Surgical Research, Sydney, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael A.","family":"Borger","sequence":"additional","affiliation":[{"name":"University Department for Cardiac Surgery, Leipzig Heart Center, Leipzig, Saxony, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2022,12,15]]},"reference":[{"issue":"03","key":"ref1","doi-asserted-by":"crossref","first-page":"641","DOI":"10.1093\/ejcts\/ezr070","article-title":"Iatrogenic type A aortic dissection during cardiac procedures: early and late outcome in 48 patients","volume":"41","author":"S Leontyev","year":"2012","journal-title":"Eur J Cardiothorac Surg"},{"issue":"10","key":"ref2","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":"H Ram","year":"2021","journal-title":"J Cardiothorac Vasc Anesth"},{"issue":"15","key":"ref3","doi-asserted-by":"crossref","first-page":"1602","DOI":"10.1161\/CIRCULATIONAHA.113.002603","article-title":"Type A aortic dissection after nonaortic cardiac surgery","volume":"128","author":"O Stanger","year":"2013","journal-title":"Circulation"},{"issue":"01","key":"ref4","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1510\/icvts.2005.114900","article-title":"Intraoperative iatrogenic type A aortic dissection and perioperative outcome","volume":"5","author":"T Fleck","year":"2006","journal-title":"Interact Cardiovasc Thorac Surg"},{"issue":"06","key":"ref5","doi-asserted-by":"crossref","first-page":"1812","DOI":"10.1016\/j.athoracsur.2010.05.023","article-title":"Richard E. 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