{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T14:08:57Z","timestamp":1762524537366,"version":"build-2065373602"},"reference-count":5,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2022,6,4]],"date-time":"2022-06-04T00:00:00Z","timestamp":1654300800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Cardiac Surgery"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aim of Study<\/jats:title>\n                    <jats:p>Aortic complications during cannulation must be managed urgently and often require hypothermic circulatory arrest. We report a unique management strategy to repair an aortic tear without dissection by modifying a Dacron ascending aortic graft with side\u2010arm.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case Presentation<\/jats:title>\n                    <jats:p>A 32\u2010year\u2010old female patient undergoing reoperative cardiac surgery suffered an unexpected aortic tear during cannulation for cardiopulmonary bypass. The tear was repaired by utilizing a physician\u2010modified ascending aortic graft with side\u2010arm, in which the surrounding skirt of the side\u2010arm was cut from the circumferential graft to patch the defect. The patient was rewarmed with the side\u2010arm serving as arterial inflow for the bypass circuit, and the remainder of the operation proceeded without complication.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This type of aortic repair for aortic tears without dissection can offer the patient the benefit of avoiding multiple aortotomies in a weakened aorta, reducing circulatory arrest time, and re\u2010establishing a central cannulation strategy for cardiopulmonary bypass.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jocs.16660","type":"journal-article","created":{"date-parts":[[2022,6,4]],"date-time":"2022-06-04T05:23:57Z","timestamp":1654320237000},"page":"2920-2922","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Patching an aortic tear using the side\u2010arm and surrounding skirt of a physician\u2010modified ascending aortic graft"],"prefix":"10.1155","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3127-1631","authenticated-orcid":false,"given":"William","family":"Mitchell","sequence":"first","affiliation":[{"name":"Department of Surgery, Division of Thoracic and Cardiovascular Surgery University of Virginia School of Medicine Charlottesville Virginia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James Hunter","family":"Mehaffey","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Thoracic and Cardiovascular Surgery University of Virginia School of Medicine Charlottesville Virginia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John A.","family":"Kern","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Thoracic and Cardiovascular Surgery University of Virginia School of Medicine Charlottesville Virginia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenan W.","family":"Yount","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Thoracic and Cardiovascular Surgery University of Virginia School of Medicine Charlottesville Virginia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,6,4]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.4103\/ija.IJA_379_17"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/0218492314531140"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.4103\/0971-9784.166463"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezu261"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1532\/hsf.2011"}],"container-title":["Journal of Cardiac Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocs.16660","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jocs.16660","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocs.16660","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T14:03:56Z","timestamp":1762524236000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jocs.16660"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,6,4]]},"references-count":5,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2022,9]]}},"alternative-id":["10.1111\/jocs.16660"],"URL":"https:\/\/doi.org\/10.1111\/jocs.16660","archive":["Portico"],"relation":{},"ISSN":["0886-0440"],"issn-type":[{"type":"print","value":"0886-0440"}],"subject":[],"published":{"date-parts":[[2022,6,4]]},"assertion":[{"value":"2022-04-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-05-29","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-06-04","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}