{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T03:23:38Z","timestamp":1787196218820,"version":"build-2736575974"},"reference-count":5,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T00:00:00Z","timestamp":1786924800000},"content-version":"vor","delay-in-days":16,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"National Science and Technology Support Program","award":["2015BAI12B03"],"award-info":[{"award-number":["2015BAI12B03"]}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82170490"],"award-info":[{"award-number":["82170490"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,8,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Acute type A aortic dissection during pregnancy with situs inversus totalis is exceptionally rare.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We report a 27-year-old woman at 24 weeks of gestation who underwent emergency ascending aortic and total arch replacement with frozen elephant trunk implantation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Fetal demise occurred on postoperative day 1, but the mother recovered without neurological deficit and remained well at 10-year follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This case demonstrates the feasibility of complex arch repair in mirror-image anatomy and highlights the importance of individualized operative planning and multidisciplinary maternal-fetal management in experienced aortic centres.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/icvts\/ivag223","type":"journal-article","created":{"date-parts":[[2026,8,15]],"date-time":"2026-08-15T12:49:33Z","timestamp":1786798173000},"source":"Crossref","is-referenced-by-count":0,"title":["Arch and Frozen Elephant Trunk Repair for Aortic Dissection in Pregnancy With Situs Inversus Totalis"],"prefix":"10.1093","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-7181-4711","authenticated-orcid":false,"given":"Yi","family":"Yang","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, Beijing Aortic Disease Center, Beijing Anzhen Hospital, Beijing Institute of Heart, Lung and Blood Vessel Diseases, Capital Medical University , Beijing 100029,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yipeng","family":"Ge","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Beijing Aortic Disease Center, Beijing Anzhen Hospital, Beijing Institute of Heart, Lung and Blood Vessel Diseases, Capital Medical University , Beijing 100029,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1961-9834","authenticated-orcid":false,"given":"Chengnan","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Beijing Aortic Disease Center, Beijing Anzhen Hospital, Beijing Institute of Heart, Lung and Blood Vessel Diseases, Capital Medical University , Beijing 100029,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6919-9164","authenticated-orcid":false,"given":"Junming","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Beijing Aortic Disease Center, Beijing Anzhen Hospital, Beijing Institute of Heart, Lung and Blood Vessel Diseases, Capital Medical University , Beijing 100029,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,8,17]]},"reference":[{"key":"2026081922262761100_ivag223-B1","doi-asserted-by":"publisher","first-page":"1009","DOI":"10.1001\/jamacardio.2022.2718","article-title":"Early mortality in type a acute aortic dissection: insights from the international registry of acute aortic dissection","volume":"7","author":"Harris","year":"2022","journal-title":"JAMA Cardiol"},{"key":"2026081922262761100_ivag223-B2","doi-asserted-by":"publisher","first-page":"1186","DOI":"10.1016\/j.jtcvs.2025.12.030","article-title":"Type a aortic dissection during pregnancy and postpartum: experience in 60 patients over 25 years","volume":"171","author":"Zhu","year":"2026","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2026081922262761100_ivag223-B3","doi-asserted-by":"publisher","first-page":"321","DOI":"10.5090\/kjtcs.20.006","article-title":"Acute type a aortic dissection in a patient with situs inversus totalis","volume":"53","author":"Kim","year":"2020","journal-title":"Korean J Thorac Cardiovasc Surg"},{"key":"2026081922262761100_ivag223-B4","doi-asserted-by":"publisher","first-page":"971","DOI":"10.1161\/CIRCULATIONAHA.110.015081","article-title":"Total arch replacement combined with stented elephant trunk implantation: a new \u201cstandard\u201d therapy for type A dissection involving repair of the aortic arch?","volume":"123","author":"Sun","year":"2011","journal-title":"Circulation"},{"key":"2026081922262761100_ivag223-B5","doi-asserted-by":"publisher","first-page":"ivaf039","DOI":"10.1093\/icvts\/ivaf039","article-title":"A case of aortic root replacement for acute type a dissection in Marfan syndrome with twin pregnancy","volume":"40","author":"Yang","year":"2025","journal-title":"Interdiscip Cardiovasc Thorac Surg"}],"container-title":["Interdisciplinary CardioVascular and Thoracic 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