{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T11:52:04Z","timestamp":1753876324717,"version":"3.41.2"},"reference-count":5,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2024,10,1]],"date-time":"2024-10-01T00:00:00Z","timestamp":1727740800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,10,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Emergency repair of type II thoracoabdominal aortic aneurysms is burdened by high perioperative morbidity and mortality. We report the case of a symptomatic type II post-dissection thoracoabdominal aortic aneurysm that was treated using a hybrid technique. The repair was carried out in 2 stages. In the first stage, we deployed 2 imbricated stent grafts in the descending thoracic aorta. A left carotid-to-left subclavian artery bypass was pre-emptively performed to obtain a proper proximal landing zone and as part of the manoeuvres to protect the spinal cord. The endovascular first stage was effective in obtaining proximal sealing but, as expected, it did not prevent distal reperfusion of the aneurysmatic false lumen. A few hours later, we moved on to the second stage in which we repaired the aneurysmal distal thoracic and abdominal aortic segment by means of a multibranched synthetic graft. The repair was carried out through a left thoracophreno-laparotomy in the seventh intercostal space. A left passive arterial bypass and selective cold renal and warm visceral perfusion were adopted to provide organ protection. Technical success was achieved and confirmed radiologically. The patient experienced mild postoperative paraplegia, which almost completely regressed after a neuromotor rehabilitation program.<\/jats:p>","DOI":"10.1093\/ejcts\/ezae361","type":"journal-article","created":{"date-parts":[[2024,10,4]],"date-time":"2024-10-04T16:44:33Z","timestamp":1728060273000},"source":"Crossref","is-referenced-by-count":0,"title":["Urgent hybrid repair of a symptomatic dissection-related type II thoracoabdominal aortic aneurysm"],"prefix":"10.1093","volume":"66","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8731-7374","authenticated-orcid":false,"given":"Nicola","family":"Monzio-Compagnoni","sequence":"first","affiliation":[{"name":"Vascular Surgery Department, ASST Grande Ospedale Metropolitano Niguarda , Milan,","place":["Italy"]},{"name":"Fondazione Cardiotoracovascolare \u201cAngelo de Gasperis\u201d , Milan,","place":["Italy"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Tuveri","sequence":"additional","affiliation":[{"name":"Vascular Surgery Residency Program, Universit\u00e0 degli Studi di Milano , Milan,","place":["Italy"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giovanna","family":"Russo","sequence":"additional","affiliation":[{"name":"Neurorehabilitation Unit, IRCCS Istituto Auxologico Italiano Ospedale San Luca , Milan,","place":["Italy"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4642-0727","authenticated-orcid":false,"given":"Valerio Stefano","family":"Tolva","sequence":"additional","affiliation":[{"name":"Vascular Surgery Department, ASST Grande Ospedale Metropolitano Niguarda , Milan,","place":["Italy"]},{"name":"Fondazione Cardiotoracovascolare \u201cAngelo de Gasperis\u201d , Milan,","place":["Italy"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,10,4]]},"reference":[{"key":"2024102608061449600_ezae361-B1","doi-asserted-by":"crossref","first-page":"744","DOI":"10.21037\/acs-2021-taes-24","article-title":"Endovascular repair for thoracoabdominal aortic aneurysms: current status and future challenges","volume":"10","author":"Tenorio","year":"2021","journal-title":"Ann Cardiothorac Surg"},{"key":"2024102608061449600_ezae361-B2","doi-asserted-by":"crossref","first-page":"1472","DOI":"10.1016\/j.jvs.2021.04.066","article-title":"Comparison of anatomic feasibility of three different multibranched off-the-shelf stent-grafts designed for thoracoabdominal aortic aneurysms","volume":"74","author":"Bertoglio","year":"2021","journal-title":"J Vasc Surg"},{"key":"2024102608061449600_ezae361-B3","first-page":"264","article-title":"Current management and outcome of chronic type B aortic dissection: results with open and endovascular repair since the advent of thoracic endografting","volume":"3","author":"Andersen","year":"2014","journal-title":"Ann Cardiothorac Surg"},{"key":"2024102608061449600_ezae361-B4","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1053\/j.semtcvs.2022.10.004","article-title":"Ultra-hybrid repair: open thoracoabdominal completion after descending stent grafting","volume":"36","author":"Thompson","year":"2024","journal-title":"Semin Thorac Cardiovasc Surg"},{"key":"2024102608061449600_ezae361-B5","doi-asserted-by":"crossref","first-page":"1357","DOI":"10.1016\/j.jvs.2017.03.420","article-title":"Improved outcomes and value in staged hybrid extent II thoracoabdominal aortic aneurysm repair","volume":"66","author":"Hawkins","year":"2017","journal-title":"J Vasc Surg"}],"container-title":["European Journal of Cardio-Thoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ejcts\/advance-article-pdf\/doi\/10.1093\/ejcts\/ezae361\/59596353\/ezae361.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ejcts\/article-pdf\/66\/4\/ezae361\/60105534\/ezae361.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ejcts\/article-pdf\/66\/4\/ezae361\/60105534\/ezae361.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,26]],"date-time":"2024-10-26T08:06:27Z","timestamp":1729929987000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ejcts\/article\/doi\/10.1093\/ejcts\/ezae361\/7811150"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,1]]},"references-count":5,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2024,10,1]]}},"URL":"https:\/\/doi.org\/10.1093\/ejcts\/ezae361","relation":{},"ISSN":["1873-734X"],"issn-type":[{"type":"electronic","value":"1873-734X"}],"subject":[],"published-other":{"date-parts":[[2024,10]]},"published":{"date-parts":[[2024,10,1]]},"article-number":"ezae361"}}