{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,16]],"date-time":"2026-08-16T07:02:54Z","timestamp":1786863774369,"version":"build-2736575974"},"reference-count":11,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2022,10,7]],"date-time":"2022-10-07T00:00:00Z","timestamp":1665100800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,10,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Aortic wrapping is a controversial repair in patients presenting with acute type A aortic dissection or intramural haematoma, but this method may be a potential alternative to medical treatment or conventional repair in patients aged &amp;gt;80\u2009years and in those presenting with prohibitive co-morbidities such as stroke, circulatory collapse, full oral anticoagulation with the last generation drugs. We report on 5 high-risk and\/or patients over 80\u2009years who received external aortic wrapping with or without cardiopulmonary bypass during the last 18\u2009months. All survived the procedure and could be extubated early postoperatively. No patient remained on the intensive care longer than 2\u2009days and all were discharged without additional complications. Postoperative radiological control was acceptable and no patient had any new aortic event up to 18\u2009months postoperatively.<\/jats:p>","DOI":"10.1093\/icvts\/ivac254","type":"journal-article","created":{"date-parts":[[2022,10,6]],"date-time":"2022-10-06T16:57:48Z","timestamp":1665075468000},"source":"Crossref","is-referenced-by-count":4,"title":["Aortic wrapping is life-saving in high-risk acute aortic dissection and intramural haematoma"],"prefix":"10.1093","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7881-6822","authenticated-orcid":false,"given":"Thierry","family":"Carrel","sequence":"first","affiliation":[{"name":"Department of Cardiac Surgery, Clinic for Cardiac Surgery, University Hospital , Z\u00fcrich, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9964-7733","authenticated-orcid":false,"given":"Juri","family":"Sromicki","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Clinic for Cardiac Surgery, University Hospital , Z\u00fcrich, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Schmiady","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Clinic for Cardiac Surgery, University Hospital , Z\u00fcrich, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raed","family":"Aser","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Clinic for Cardiac Surgery, University Hospital , Z\u00fcrich, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed","family":"Ouda","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Clinic for Cardiac Surgery, University Hospital , Z\u00fcrich, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9649-2940","authenticated-orcid":false,"given":"Paul Robert","family":"Vogt","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Clinic for Cardiac Surgery, University Hospital , Z\u00fcrich, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2022,10,7]]},"reference":[{"key":"2022101913585796100_ivac254-B1","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1007\/s11886-022-01642-3","article-title":"Diagnosis and management of acute aortic syndromes: dissection, penetrating aortic ulcer, and intramural hematoma","volume":"24","author":"Sorber","year":"2022","journal-title":"Curr Cardiol Rep"},{"key":"2022101913585796100_ivac254-B2","doi-asserted-by":"crossref","first-page":"735","DOI":"10.1016\/j.jtcvs.2021.04.053","article-title":"2021 The American Association for Thoracic Surgery expert consensus document: surgical treatment of acute type A aortic dissection","volume":"162","author":"Malaisrie","year":"2021","journal-title":"J Thorac 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Surg"},{"key":"2022101913585796100_ivac254-B6","doi-asserted-by":"crossref","DOI":"10.1016\/j.athoracsur.2022.01.051","article-title":"Off-pump wrapping for acute type A dissection: alternate option in patients deemed inoperable","author":"Guihaire","year":"2022","journal-title":"Ann Thorac Surg"},{"key":"2022101913585796100_ivac254-B7","article-title":"Outcomes of urgent aortic wrapping for acute type A aortic dissection","author":"Vento","year":"2020","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2022101913585796100_ivac254-B8","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1016\/j.jtcvs.2020.09.023","article-title":"Commentary: external wrapping in proximal intramural hematoma of the aorta: what's behind the magic?","volume":"164","author":"Nienaber","year":"2022","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2022101913585796100_ivac254-B9","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1016\/S0022-5223(19)42284-8","article-title":"External grafting of aortic aneurysms","volume":"61","author":"Robicsek","year":"1971","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2022101913585796100_ivac254-B10","doi-asserted-by":"crossref","DOI":"10.1093\/icvts\/ivac037","article-title":"Prior intake of new oral anticoagulants adversely affects outcome following surgery for acute type A aortic dissection","author":"Sromicki","year":"2022","journal-title":"Interact CardioVasc Thorac Surg"},{"key":"2022101913585796100_ivac254-B11","doi-asserted-by":"crossref","first-page":"1360","DOI":"10.1016\/j.jacc.2020.01.015","article-title":"Predicting in-hospital survival in acute type A aortic dissection medically treated","volume":"75","author":"Wang","year":"2020","journal-title":"J Am Coll Cardiol"}],"container-title":["Interactive CardioVascular and Thoracic 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