{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:03:09Z","timestamp":1753876989445,"version":"3.41.2"},"reference-count":9,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2023,1,9]],"date-time":"2023-01-09T00:00:00Z","timestamp":1673222400000},"content-version":"vor","delay-in-days":8,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,1,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Elephant trunk and frozen elephant trunk are established procedures for the treatment of aortic arch pathologies, such as aneurysm or dissection. The aim of open surgery is to re-expand the true lumen, favouring correct organ perfusion and the thrombosis of the false lumen. Frozen elephant trunk, with its stented endovascular portion, is sometimes associated with a life-threatening complication: the stent graft-induced new entry. In the literature, many studies reported the incidence of such issue after thoracic endovascular prosthesis or frozen elephant trunk, but in our knowledge, there are no case studies about the occurrence of stent graft-induced new entry with the use of soft grafts. For this reason, we decided to report our experience, highlighting how the use of a Dacron graft can cause distal intimal tears. We decided to coin the term soft-graft-induced new entry to indicate the development of an intimal tear induced by the soft prosthesis in the arch and proximal descending aorta.<\/jats:p>","DOI":"10.1093\/icvts\/ivac283","type":"journal-article","created":{"date-parts":[[2023,1,9]],"date-time":"2023-01-09T10:56:44Z","timestamp":1673261804000},"source":"Crossref","is-referenced-by-count":3,"title":["(s)INE: (soft-graft)-induced new entry tear after elephant trunk procedure"],"prefix":"10.1093","volume":"36","author":[{"given":"Veronica","family":"Lorenz","sequence":"first","affiliation":[{"name":"Cardiac Surgery\u2014Aortic Unit, University of Study of Siena , Siena, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luigi","family":"Muzzi","sequence":"additional","affiliation":[{"name":"Cardiac Surgery\u2014Aortic Unit, University of Study of Siena , Siena, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giulio","family":"Tommasino","sequence":"additional","affiliation":[{"name":"Cardiac Surgery\u2014Aortic Unit, University of Study of Siena , Siena, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Enrico","family":"Tucci","sequence":"additional","affiliation":[{"name":"Cardiac Surgery\u2014Aortic Unit, University of Study of Siena , Siena, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eugenio","family":"Neri","sequence":"additional","affiliation":[{"name":"Cardiac Surgery\u2014Aortic Unit, University of Study of Siena , Siena, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2023,1,9]]},"reference":[{"key":"2023022113532714600_","doi-asserted-by":"crossref","first-page":"875078","DOI":"10.3389\/fcvm.2022.875078","article-title":"Incidence of distal stent graft induced new entry vs. aortic remodeling associated with frozen elephant trunk","volume":"9","author":"Jubouri","year":"2022","journal-title":"Front Cardiovasc Med"},{"key":"2023022113532714600_","doi-asserted-by":"crossref","first-page":"1450","DOI":"10.1016\/j.jvs.2010.05.121","article-title":"Stent graft-induced new entry after endovascular repair for Stanford type B aortic dissection","volume":"52","author":"Dong","year":"2010","journal-title":"J Vasc Surg"},{"key":"2023022113532714600_","doi-asserted-by":"crossref","first-page":"969","DOI":"10.1016\/j.jtcvs.2018.03.100","article-title":"Intimal relayering technique: yet another operation for acute aortic dissection","volume":"156","author":"Neri","year":"2018","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2023022113532714600_","doi-asserted-by":"crossref","first-page":"362","DOI":"10.3400\/avd.oa.21-00105","article-title":"Distal stent graft-induced new entry after total arch replacement with frozen elephant trunk for aortic 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