{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,6]],"date-time":"2025-12-06T16:21:11Z","timestamp":1765038071839,"version":"3.46.0"},"reference-count":5,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[2025,10,24]],"date-time":"2025-10-24T00:00:00Z","timestamp":1761264000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Johannes Kepler University"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,11,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>A 63-year-old male Jehovah\u2019s Witness with a history of Stanford type B aortic dissection presented after a stable course over the years with a rapid expansion of the thoraco-abdominal aorta, necessitating intervention. Due to religious beliefs prohibiting blood transfusions, open surgical treatment of the aortic arch was not viable. Instead, endovascular aortic septotomy with electrosurgery of the abdominal aorta and endovascular repair of the aortic arch were successfully performed, followed by thoracic endovascular aortic repair to ensure sufficient lumen expansion for further prosthetic deployment. Five months later, the total endovascular repair of the aorta was completed by fenestrated endovascular aortic repair. Two type II endoleaks in the thoracic and abdominal aorta were treated with a percutaneous embolization. The patient remained in good general condition at the follow-up examinations, with no neurological abnormalities.<\/jats:p>\n                  <jats:p>The case highlights the feasibility and advantages of established and emerging endovascular techniques as alternative to open aortic surgery for patients who refuse blood transfusions.<\/jats:p>","DOI":"10.1093\/icvts\/ivaf254","type":"journal-article","created":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T11:44:55Z","timestamp":1761133495000},"source":"Crossref","is-referenced-by-count":0,"title":["Total Endovascular Aortic Repair in a Jehovah\u2019s Witness Due to Chronic Postdissection Aortic Aneurysm with Endovascular Aortic Septotomy with Electrosurgery"],"prefix":"10.1093","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3709-9337","authenticated-orcid":false,"given":"Georg","family":"Hagleitner","sequence":"first","affiliation":[{"name":"Central Radiology Institute, Kepler University Hospital , Linz 4020,","place":["Austria"]},{"name":"Department of Virtual Morphology, Johannes Kepler University Linz, MED Campus I , Linz 4020,","place":["Austria"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9265-8437","authenticated-orcid":false,"given":"Peter","family":"Benedikt","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic and Vascular Surgery, Johannes Kepler University Linz, Kepler University Hospital , Linz 4020,","place":["Austria"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Pichler","sequence":"additional","affiliation":[{"name":"Central Radiology Institute, Kepler University Hospital , Linz 4020,","place":["Austria"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreas","family":"Zierer","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic and Vascular Surgery, Johannes Kepler University Linz, Kepler University Hospital , Linz 4020,","place":["Austria"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,10,24]]},"reference":[{"key":"2025120611162654100_ivaf254-B1","doi-asserted-by":"publisher","first-page":"4292","DOI":"10.1111\/jocs.15920","article-title":"Endovascular repair of the aortic arch: state of the art","volume":"36","author":"Brown","year":"2021","journal-title":"J Card Surg"},{"key":"2025120611162654100_ivaf254-B2","doi-asserted-by":"publisher","first-page":"2050313X231225867","DOI":"10.1177\/2050313X231225867","article-title":"Extensive thoracoabdominal aortic electro septotomy: a case report of a novel approach in the treatment of chronic aortic dissections","volume":"12","author":"Huber","year":"2024","journal-title":"SAGE Open Med Case Rep"},{"key":"2025120611162654100_ivaf254-B3","doi-asserted-by":"publisher","first-page":"365","DOI":"10.1055\/s-0040-1715873","article-title":"Type 2 endoleak management","volume":"37","author":"Chen","year":"2020","journal-title":"Semin Intervent Radiol"},{"key":"2025120611162654100_ivaf254-B4","doi-asserted-by":"publisher","first-page":"E303","DOI":"10.59958\/hsf.5333","article-title":"Thoracic endovascular aortic repair versus open surgery for stanford type B aortic dissection: a meta-analysis and systematic review","volume":"26","author":"Yu","year":"2023","journal-title":"Heart Surg Forum"},{"key":"2025120611162654100_ivaf254-B5","doi-asserted-by":"publisher","first-page":"262","DOI":"10.1016\/j.cjca.2017.12.020","article-title":"Aortic arch reconstructive surgery with conventional techniques vs frozen elephant trunk: a systematic review and meta-analysis","volume":"34","author":"Hanif","year":"2018","journal-title":"Can J Cardiol"}],"container-title":["Interdisciplinary CardioVascular and Thoracic 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