{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:05:25Z","timestamp":1787018725151,"version":"build-2736575974"},"reference-count":20,"publisher":"SAGE Publications","issue":"6-7","license":[{"start":{"date-parts":[[2022,9,29]],"date-time":"2022-09-29T00:00:00Z","timestamp":1664409600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Asian Cardiovasc Thorac Ann"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Reporting clinical outcomes of acute type A aortic dissection.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data derived from the survey of the Japanese Association for Thoracic Surgery, the Japan Cardiovascular Database, and the Japanese Registry of All Cardiac and Vascular Diseases were analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Between 2012 and 2015, the Japanese Registry of All Cardiac and Vascular Diseases study collected 13,131 patients and the hospital mortality was 24.3%. The surgical mortality was significantly lower than medical one (11.8% vs 49.7%; p\u2009&lt;\u20090.001). The Japanese Association for Thoracic Surgery survey disclosed the number of surgeries has been increased to 6157 in 2018 and the hospital death has decreased to 10.5%. The Japan Cardiovascular Database, collected 29,486 patients from 2013 to 2018. Age at surgery was 59.8\u2009\u2009\u00b1\u2009\u200914.2 years and patients younger than 65 years in 61% and 21% were older than 75 years. Ninety-four percent had surgery within 24\u2005h after diagnosis. Antegrade cerebral perfusion was used in 74% and deep hypothermic circulatory arrest with\/without retrograde cerebral perfusion in 26%. Replacement of the ascending aorta was performed in 62% and total arch replacement in 28%. The aortic valve was replaced in 7.9% and repaired in 4.4%. The hospital mortality was 11%. New stroke occurred in 12%, hemodialysis in 7.3%, paraplegia in 3.9%, and prolonged ventilation in 15%.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The number of operations for type A aortic dissection has increased, and hospital mortality has improved. Although the early results after surgery for type A aortic dissection are acceptable, new strategies to improve early outcomes in patients with preoperative comorbidities are required.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02184923221080799","type":"journal-article","created":{"date-parts":[[2022,9,30]],"date-time":"2022-09-30T02:36:36Z","timestamp":1664505396000},"page":"361-374","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Recent trends of open surgery for acute type A aortic dissection in Japan"],"prefix":"10.1177","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8408-8457","authenticated-orcid":false,"given":"Yutaka","family":"Okita","sequence":"first","affiliation":[{"name":"Takatsuki General Hospital, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,9,29]]},"reference":[{"key":"bibr1-02184923221080799","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2021.04.053"},{"key":"bibr2-02184923221080799","unstructured":"Ogino H, Iida O, Akutsu K, et al. JCS\/JSCVS\/JATS\/JSVS 2020 Guideline on Diagnosis and Treatment of Aortic Aneurysm and Aortic Dissection (\n                      in Japanese\n                      ). https:\/\/www.j-circ.or.jp\/cms\/wp-content\/uploads\/2020\/07\/JCS2020_Ogino.pdf."},{"key":"bibr3-02184923221080799","doi-asserted-by":"crossref","DOI":"10.1161\/CIR.0b013e3181d47d48","volume":"121","author":"Hiratzka LF","year":"2010","journal-title":"Circulation"},{"key":"bibr4-02184923221080799","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehu281"},{"key":"bibr5-02184923221080799","doi-asserted-by":"publisher","DOI":"10.1177\/2048872619872847"},{"key":"bibr6-02184923221080799","doi-asserted-by":"publisher","DOI":"10.1007\/s11748-020-01298-2"},{"key":"bibr7-02184923221080799","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2020.09.14"},{"key":"bibr8-02184923221080799","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2021.03.079"},{"key":"bibr9-02184923221080799","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2019.12.051"},{"key":"bibr10-02184923221080799","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.117.031264"},{"key":"bibr11-02184923221080799","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2019.06.016"},{"key":"bibr12-02184923221080799","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezv356"},{"key":"bibr13-02184923221080799","doi-asserted-by":"publisher","DOI":"10.1007\/s11748-012-0128-x"},{"key":"bibr14-02184923221080799","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezx463"},{"key":"bibr15-02184923221080799","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezx302"},{"key":"bibr16-02184923221080799","doi-asserted-by":"publisher","DOI":"10.21037\/acs.2016.05.06"},{"key":"bibr17-02184923221080799","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2015.03.068"},{"key":"bibr18-02184923221080799","volume":"149","author":"Okita Y","year":"2014","journal-title":"J Thorac Cardiovasc Surg"},{"key":"bibr19-02184923221080799","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezz323"},{"key":"bibr20-02184923221080799","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2019.08.043"}],"container-title":["Asian Cardiovascular and Thoracic Annals"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02184923221080799","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/02184923221080799","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02184923221080799","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T19:28:47Z","timestamp":1777404527000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/02184923221080799"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,9,29]]},"references-count":20,"journal-issue":{"issue":"6-7","published-print":{"date-parts":[[2024,9]]}},"alternative-id":["10.1177\/02184923221080799"],"URL":"https:\/\/doi.org\/10.1177\/02184923221080799","relation":{},"ISSN":["0218-4923","1816-5370"],"issn-type":[{"value":"0218-4923","type":"print"},{"value":"1816-5370","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,9,29]]}}}