{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:07:43Z","timestamp":1753877263160,"version":"3.41.2"},"reference-count":5,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2025,5,9]],"date-time":"2025-05-09T00:00:00Z","timestamp":1746748800000},"content-version":"vor","delay-in-days":10,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,4,29]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Acute type A aortic dissection, despite treatment advances, remains a critical emergency with markedly high morbidity and mortality rates. The primary goals of immediate surgical intervention are to ensure survival, prevent severe complications, and avoid subsequent interventions. We present a case of a 55-year-old male who presented with new-onset chest pain, dyspnea, and hypotension. Emergent transthoracic echocardiography and subsequent computed tomography revealed an ascending aortic dissection. The patient underwent immediate surgical repair using a \u201cpeninsula-style\u201d technique for transverse arch replacement with a single piece of Dacron graft, preserving continuity with the proximal descending aorta and performing routine aortic valve commissural resuspension. Following an uncomplicated postoperative course, he was discharged in a stable condition, and an 18-month follow-up CT showed no signs of aorta-related complications. This case report underscores the importance of having specialized thoracic aortic teams capable of using easily reproducible techniques, reducing operative time, and yielding reliable results.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf292","type":"journal-article","created":{"date-parts":[[2025,5,9]],"date-time":"2025-05-09T06:32:38Z","timestamp":1746772358000},"source":"Crossref","is-referenced-by-count":0,"title":["Single graft \u201cpeninsula-style\u201d transverse aortic arch replacement in patients with type A acute aortic dissection: case report"],"prefix":"10.1093","volume":"2025","author":[{"given":"Vladimir","family":"Belostotsky","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, Acibadem Sistina Hospital , Skupi 5A, 1000 Skopje ,","place":["Republic of North Macedonia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Darko","family":"Bislimovski","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Acibadem Sistina Hospital , Skupi 5A, 1000 Skopje ,","place":["Republic of North Macedonia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aleksandar","family":"Nikolic","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Acibadem Sistina Hospital , Skupi 5A, 1000 Skopje ,","place":["Republic of North Macedonia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Milan","family":"Milojevic","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Acibadem Sistina Hospital , Skupi 5A, 1000 Skopje ,","place":["Republic of North Macedonia"]},{"name":"Department of Cardiothoracic Surgery, Erasmus University Medical Center , Dr. Molewaterplein 40, 3015GD Rotterdam ,","place":["The Netherlands"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,5,9]]},"reference":[{"key":"2025050902323017500_ref1","doi-asserted-by":"publisher","first-page":"147","DOI":"10.1510\/icvts.2006.142422","article-title":"Suture line reinforcement using suction-assisted bioglue application during surgery for acute aortic dissection","volume":"6","author":"Mitrev","year":"2007","journal-title":"Interact Cardiovasc Thorac Surg"},{"key":"2025050902323017500_ref2","doi-asserted-by":"publisher","first-page":"1369","DOI":"10.1016\/j.athoracsur.2009.11.029","article-title":"\u201cPeninsula-style\u201d transverse aortic arch replacement in patients with bicuspid aortic valve","volume":"90","author":"Itoh","year":"2010","journal-title":"Ann Thorac Surg"},{"key":"2025050902323017500_ref3","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1016\/S0003-4975(00)01535-6","article-title":"Total arch replacement using aortic arch-branched grafts with the aid of antegrade selective cerebral perfusion","volume":"70","author":"Kazui","year":"2000","journal-title":"Ann Thorac Surg"},{"key":"2025050902323017500_ref4","doi-asserted-by":"publisher","first-page":"275","DOI":"10.21037\/acs.2016.05.05","article-title":"Evolution of surgical therapy for Stanford acute type A aortic dissection","volume":"5","author":"Chiu","year":"2016","journal-title":"Ann Cardiothorac Surg"},{"key":"2025050902323017500_ref5","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezad426","article-title":"EACTS\/STS guidelines for diagnosing and treating acute and chronic syndromes of the aortic organ","volume":"65","author":"Czerny","year":"2024","journal-title":"Eur J Cardiothorac Surg"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/5\/rjaf292\/63131266\/rjaf292.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/5\/rjaf292\/63131266\/rjaf292.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,9]],"date-time":"2025-05-09T06:32:39Z","timestamp":1746772359000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjaf292\/8127330"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,29]]},"references-count":5,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,4,29]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjaf292","relation":{},"ISSN":["2042-8812"],"issn-type":[{"type":"electronic","value":"2042-8812"}],"subject":[],"published-other":{"date-parts":[[2025,5]]},"published":{"date-parts":[[2025,4,29]]},"article-number":"rjaf292"}}