{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,12]],"date-time":"2026-04-12T17:46:50Z","timestamp":1776016010285,"version":"3.50.1"},"reference-count":13,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T00:00:00Z","timestamp":1775692800000},"content-version":"vor","delay-in-days":8,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Redo aortic root surgery for acute type A aortic dissection is technically demanding, particularly when coronary reconstruction is complicated by tissue fragility. Reliable bailout strategies are required when direct coronary reimplantation is unsafe during valve-sparing root replacement. A 52-year-old man previously underwent total arch replacement with a frozen elephant trunk for acute type A aortic dissection. He later developed progressive aortic root dilatation and a proximal anastomotic pseudoaneurysm, and redo valve-sparing root replacement was performed. Intraoperatively, the left coronary artery was severely dissected and unsuitable for reimplantation. A short segment saphenous vein graft was interposed between the trimmed left main trunk and the neo-aortic root. Postoperative imaging confirmed preserved valve function and satisfactory coronary flow. Short-segment saphenous vein interposition represents a practical bailout option in complex redo aortic root surgery.<\/jats:p>","DOI":"10.1093\/jscr\/rjag243","type":"journal-article","created":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T12:33:13Z","timestamp":1773750793000},"source":"Crossref","is-referenced-by-count":0,"title":["Valve-sparing root replacement with short saphenous vein interposition for left coronary artery reconstruction in redo type A aortic dissection: a case report"],"prefix":"10.1093","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1104-1628","authenticated-orcid":false,"given":"Ryoji","family":"Kinoshita","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, Tsuchiura Kyodo General Hospital , 4-1-1 Otsuno, Tsuchiura, Ibaraki 300-0028,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Taiju","family":"Watanabe","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Tsuchiura Kyodo General Hospital , 4-1-1 Otsuno, Tsuchiura, Ibaraki 300-0028,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuya","family":"Okaguchi","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Tsuchiura Kyodo General Hospital , 4-1-1 Otsuno, Tsuchiura, Ibaraki 300-0028,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazunobu","family":"Hirooka","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Tsuchiura Kyodo General Hospital , 4-1-1 Otsuno, Tsuchiura, Ibaraki 300-0028,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2026,4,9]]},"reference":[{"key":"2026041213081511000_ref1","doi-asserted-by":"publisher","first-page":"601","DOI":"10.1016\/j.jtcvs.2005.11.007","article-title":"Aortic root replacement after previous surgical intervention 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