{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T21:41:01Z","timestamp":1776894061423,"version":"3.51.2"},"reference-count":20,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2025,5,21]],"date-time":"2025-05-21T00:00:00Z","timestamp":1747785600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R01HL170059"],"award-info":[{"award-number":["R01HL170059"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R44HL145953"],"award-info":[{"award-number":["R44HL145953"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,6,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>OBJECTIVES<\/jats:title>\n                  <jats:p>Aortic arch tears, including distal anastomosis new entry tears and residual arch tears, have been associated with adverse outcomes (false lumen growth, distal reoperation) after hemi-arch repair for DeBakey Type I aortic dissection. However, no study has compared distal anastomosis new entry tears and RATs as independent entities despite their distinct aetiologies and preventative strategies which may inform surgical management.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>Retrospective cohort study of adult patients with hemi-arch repair for DeBakey Type I aortic dissection at a tertiary referral centre (1996\u20132021). We included patients who survived beyond their initial hospitalization with good-quality post-operative CT angiograms. Distal anastomosis new entry tears and residual arch tears metrics were collected from the first good-quality post-operative CT. Maximal aortic diameters (distal to graft) were collected from pre- and post-hemi-arch repair CT angiograms. Presence and imaging characteristics of distal anastomosis new entry tears and RATs were examined for prediction of false lumen growth and distal aortic intervention.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>We included 272 patients, and 24.5% (69) had distal anastomosis new entry tears, which on multivariable analysis was associated with a post-operative descending diameter change of +6.2\u2009mm (95% confidence interval [CI]: 4.5, 7.9) and greater risk of distal intervention, hazard ratio 3.24 (95% CI: 1.57, 6.68); residual arch tears were not significantly associated, hazard ratio 0.72 (95% CI: 0.28, 1.83). Distal anastomosis new entry tears located on the greater curvature versus lesser curvature (58% vs 42%, P\u2009=\u20090.044) were more likely to lead to reoperation (45% vs 17%, P\u2009=\u20090.033).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>Distal anastomosis new entry tears, not residual arch tears, correlate strongly with negative descending aorta remodelling and distal intervention after hemi-arch repair for DeBakey I aortic dissection. Therefore, additional strategies are warranted to prevent distal anastomosis new entry tears, a result of anastomotic technical challenge, during operative repair.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ejcts\/ezaf170","type":"journal-article","created":{"date-parts":[[2025,5,21]],"date-time":"2025-05-21T15:05:18Z","timestamp":1747839918000},"source":"Crossref","is-referenced-by-count":2,"title":["Distal anastomotic new entry tears predict long-term outcomes after hemi-arch repair for DeBakey I aortic dissection"],"prefix":"10.1093","volume":"67","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5768-4859","authenticated-orcid":false,"given":"Prabhvir S","family":"Marway","sequence":"first","affiliation":[{"name":"Department of Radiology, University of Michigan , Ann Arbor, MI,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlos A","family":"Campello Jorge","sequence":"additional","affiliation":[{"name":"Department of Radiology, University of Michigan , Ann Arbor, MI,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rana-Armaghan","family":"Ahmad","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, University of Michigan , Ann Arbor, MI,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicasius","family":"Tjahjadi","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, University of Michigan , Ann Arbor, MI,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7639-2416","authenticated-orcid":false,"given":"Himanshu J","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, University of Michigan , Ann Arbor, MI,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bo","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, University of Michigan , Ann Arbor, MI,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5198-4383","authenticated-orcid":false,"given":"Nicholas S","family":"Burris","sequence":"additional","affiliation":[{"name":"Department of Radiology, University of Michigan , Ann Arbor, MI,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,5,21]]},"reference":[{"key":"2025060401012929300_ezaf170-B1","article-title":"EACTS\/STS guidelines for diagnosing and treating acute and chronic syndromes of the aortic organ","volume":"66","author":"Czerny","year":"2024","journal-title":"Eur J Cardio-Thorac Surg"},{"key":"2025060401012929300_ezaf170-B2","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.xjtc.2021.05.002","article-title":"Acute type A aortic dissection and the consequences of a patent false 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