{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T19:17:18Z","timestamp":1777576638089,"version":"3.51.4"},"reference-count":20,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2025,12,26]],"date-time":"2025-12-26T00:00:00Z","timestamp":1766707200000},"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":[[2026,2]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The frozen elephant trunk (FET) procedure is developed to treat complex aortic arch diseases. We aimed to share our single centre experience of FET operations over time.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A review of first 100 patients who underwent FET procedures for acute, chronic dissection and thoracic aneurysm from January 2016 to January 2024. The patients were divided into two groups: Group 1 (first 50 cases); Group 2 (subsequent 50 cases) and compared the early and late outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Early overall mortality was 9% but reduced with time {12% (6\/50) in Group 1 vs. 6% (3\/50) in Group 2,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.295} with no deaths among the isolated FET procedures. Morbidity included stroke (4%), spinal cord injury (3%) and temporary renal dialysis (9%). Durations of total operation time, cross clamp, circulatory arrest and cerebral perfusion were shorter in group 2;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.05. Concomitant coronary artery bypass grafting, clamp time &gt;180\u2005min, temperature &lt;20\u2005\u00b0C and ventilation &gt;72\u2005h were the significant risk factors for all mortality. The overall 1, 5 and 7-year survival were 93.8, 90.7 and 82.5%, respectively, with freedom from aortic re-intervention reflected at 98.8\n                      <jats:bold>,<\/jats:bold>\n                      87.8 and 87.8%, accordingly.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Early mortality for FET procedure was significantly reduced to 6% with time and no death among isolated FET. The FET operations became faster with better recovery. Doing more cases, refining surgical techniques and post-operative care are the lessons learned for improvements.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02184923251409431","type":"journal-article","created":{"date-parts":[[2025,12,26]],"date-time":"2025-12-26T11:49:34Z","timestamp":1766749774000},"page":"111-118","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Single centre Asian experience of first 100 cases of frozen elephant trunk procedures: Humble beginning, evolution and lessons learned"],"prefix":"10.1177","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5474-8864","authenticated-orcid":false,"given":"Paneer Selvam","family":"Krishna Moorthy","sequence":"first","affiliation":[{"name":"National Heart Institute"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kiew Kong","family":"Pau","sequence":"additional","affiliation":[{"name":"National Heart Institute"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohd Azhari","family":"Yakub","sequence":"additional","affiliation":[{"name":"National Heart Institute"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammad Fairudz","family":"Faisal","sequence":"additional","affiliation":[{"name":"National Heart Institute"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deventhiran P","family":"Permal","sequence":"additional","affiliation":[{"name":"National Heart Institute"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aini Syakirin","family":"Kepli","sequence":"additional","affiliation":[{"name":"National Heart Institute"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,12,26]]},"reference":[{"key":"e_1_3_2_2_2","article-title":"New graft implanting method for thoracic aortic aneurysm or dissection with a stented graft","volume":"94","author":"Kato M","year":"1996","unstructured":"Kato M, Ohnishi K, Kaneko M, et al. 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