{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,3]],"date-time":"2026-03-03T05:55:21Z","timestamp":1772517321259,"version":"3.50.1"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[2024,11,19]],"date-time":"2024-11-19T00:00:00Z","timestamp":1731974400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100005230","name":"Chongqing Natural Science Foundation","doi-asserted-by":"crossref","award":["CSTB2022NSCQ-MSX1018"],"award-info":[{"award-number":["CSTB2022NSCQ-MSX1018"]}],"id":[{"id":"10.13039\/501100005230","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,11,28]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Few studies have investigated the effect of the intimal morphology of type B aortic dissection (TBAD) on the blood flow after rupture. We report a case of a 30-year-old male with complicated TBAD, who underwent assessment with 4D computed tomography (4D-CT).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>Patient presented with chest tightness for 14 days, a heart rate of 67\u2005b.p.m., regular rhythm, and 2 years of hypertension. Precisely 14 days prior, he had been diagnosed with aortic dissection by ultrasound at another hospital. 4D-CT showed thoracoabdominal aortic dissection (Stanford type B), left haemothorax, multiple dissection tears, an initial tear located at the large curvature side of the aortic arch, a proximal tear entrance &amp;gt;15\u2005mm, and a descending aorta exit &amp;gt;5\u2005mm. 4D-CT analysis and visualization of the intimal flap showed a parallel three-lumen spatial morphology of true\u2013false\u2013true, and the lumen showed partial thrombosis in the false lumen. Further quantitative analysis of the area of the initial and re-entry tear during the cardiac cycle revealed that the ratio of the initial tear to re-entry tear was consistent with the expansion ratio of the false lumen to the true lumen of the re-entry tear. The patient improved and was discharged 1 week after undergoing thoracic endovascular aortic repair (TEVAR) for descending aortic dissection.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>The complex triple-lumen TBAD, characterized by multiple tears and blood flow channels, poses challenges for TEVAR. 4D-CT facilitates the visualization of intimal flap spatial distribution and enables a thorough assessment of interlayer dilation risk within a realistic and complex haemodynamic context, thereby refining the risk stratification for the progression of complicated aortic dissection and its associated complex complications.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytae613","type":"journal-article","created":{"date-parts":[[2024,11,19]],"date-time":"2024-11-19T12:50:32Z","timestamp":1732020632000},"source":"Crossref","is-referenced-by-count":1,"title":["4D computed tomography assessment of ruptured triple-lumen type B aortic dissection: a case report"],"prefix":"10.1093","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1855-1818","authenticated-orcid":false,"given":"Ying","family":"Li","sequence":"first","affiliation":[{"name":"Department of Digital Medicine, College Biomedical Engineering and Medical Imaging, Army Medical University (Third Military Medical University) , Chongqing 400038 ,","place":["China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0034-7859","authenticated-orcid":false,"given":"Jia","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Emergency, The Second Affiliated Hospital, Army Medical University (Third Military Medical University) , Chongqing 400030 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