{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T15:49:42Z","timestamp":1777736982045,"version":"3.51.4"},"reference-count":9,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2007,7,1]],"date-time":"2007-07-01T00:00:00Z","timestamp":1183248000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Innovations\ufffd(Phila)"],"published-print":{"date-parts":[[2007,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Use of thoracic Stent-graft in patients with connective tissue disorders (CTD) remains limited. We herein report 3 patients with CTD who underwent stent grafting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and Results<\/jats:title>\n                    <jats:p>Case 1; A male Marfan patient was operated for thoraco-abdominal aneurysm. On computed tomography (CT), large false aneurysm at the proximal anastomosis was documented which was excluded with a 30 mm Talent stent-graft with 10\u201315% oversize. Case 2; A female with Ehlers-Danlos syndrome had undergone resection of descending aortic thoracic aneurysm presented with an enlarging aneurysm distal to the graft. Three Talent stent-grafts (15% oversize) were deployed with balloon dilatation to exclude the aneurysm. The immediate postoperative period was complicated by an extensive intramural hematoma of the descending aorta with hemothorax, managed conservatively. Case 3; A female Marfan patient had undergone Bentall procedure and mitral repair followed with resection of the proximal descending aorta. Three months later a false aneurysm at the distal anastomosis was treated with a 24 mm Valiant stent-graft (30% oversize). Aortic dissection distal to stent was documented on the early postoperative CT. The dissected aneurysm enlarged significantly with a type I distal endoleak during follow-up. Concomitantly, the patient presented a class III dyspnea owing to a severe mitral regurgitation. The patient underwent a successful MVR and stent-graft explantation with replacement of the descending aorta.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Significant complications supervened when stent-grafts were deployed in native aorta. We thus recommend that deploying a stent-graft in a CTD diseased aorta should be considered a relative contraindication. In cases with prohibitive or high risk surgery, use of a stent-graft with minimal radial force and minimal oversizing without balloon dilatation should be considered.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1097\/imi.0b013e31815887e0","type":"journal-article","created":{"date-parts":[[2009,3,4]],"date-time":"2009-03-04T16:50:04Z","timestamp":1236185404000},"page":"184-187","source":"Crossref","is-referenced-by-count":4,"title":["Thoracic Aortic Stent Grafting in Patients with Connective Tissue Disorders: A Word of Caution"],"prefix":"10.1177","volume":"2","author":[{"given":"Siamak","family":"Mohammadi","sequence":"first","affiliation":[{"name":"Department of Cardiac Surgery and Radiology, Laval Hospital, Qu\u03adbec city, Qu\u03adbec, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean-Pierre","family":"Normand","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery and Radiology, Laval Hospital, Qu\u03adbec city, Qu\u03adbec, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pierre","family":"Voisine","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery and Radiology, Laval Hospital, Qu\u03adbec city, Qu\u03adbec, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fran\u00e7ois","family":"Dagenais","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery and Radiology, Laval Hospital, Qu\u03adbec city, Qu\u03adbec, Canada."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2007,7,1]]},"reference":[{"key":"bibr1-imi.0b013e31815887e0","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2006.03.019"},{"key":"bibr2-imi.0b013e31815887e0","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2004.09.034"},{"key":"bibr3-imi.0b013e31815887e0","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2006.08.005"},{"key":"bibr4-imi.0b013e31815887e0","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2003.10.047"},{"key":"bibr5-imi.0b013e31815887e0","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.91.3.728"},{"key":"bibr6-imi.0b013e31815887e0","doi-asserted-by":"publisher","DOI":"10.1007\/s00595-004-2909-z"},{"key":"bibr7-imi.0b013e31815887e0","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2003.08.034"},{"key":"bibr8-imi.0b013e31815887e0","doi-asserted-by":"publisher","DOI":"10.1583\/04-1415MR.1"},{"key":"bibr9-imi.0b013e31815887e0","doi-asserted-by":"publisher","DOI":"10.1007\/s10016-006-9091-2"}],"container-title":["Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1097\/imi.0b013e31815887e0","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1097\/imi.0b013e31815887e0","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T11:17:51Z","timestamp":1777461471000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1097\/imi.0b013e31815887e0"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,7]]},"references-count":9,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2007,7]]}},"alternative-id":["10.1097\/imi.0b013e31815887e0"],"URL":"https:\/\/doi.org\/10.1097\/imi.0b013e31815887e0","relation":{},"ISSN":["1556-9845","1559-0879"],"issn-type":[{"value":"1556-9845","type":"print"},{"value":"1559-0879","type":"electronic"}],"subject":[],"published":{"date-parts":[[2007,7]]}}}