{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T01:17:32Z","timestamp":1777943852985,"version":"3.51.4"},"reference-count":9,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2023,7,26]],"date-time":"2023-07-26T00:00:00Z","timestamp":1690329600000},"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":["Vascular"],"published-print":{"date-parts":[[2024,10]]},"abstract":"\n Objectives<\/jats:title>\n The presence of a mechanical aortic valve has been a contraindication to the use of an arch branch aortic endograft due to the risk of damaging the valve, resulting in acute aortic regurgitation, or a trapped endograft.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n We present a 67-year-old woman, with a background of Marfan's syndrome and a previous Bentall\u2019s procedure, who presented with a symptomatic enlarging aortic arch and descending thoracic aortic aneurysm, with a type 1A endoleak.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Using an inner branch arch endograft (Cook Medical, Bloomington, Indiana), the nose cone of the delivery system was passed laterally through the semi-circular aperture of the mechanical aortic valve to facilitate deployment just distal to the coronary buttons.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n With advancement of endovascular technology, techniques and experience, endovascular aortic arch repair in the presence of a mechanical aortic valve is feasible.<\/jats:p>\n 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Nelson Hospital, Nelson, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oliver T","family":"Lyons","sequence":"additional","affiliation":[{"name":"Department of Vascular, Endovascular and Transplant Surgery, Christchurch Hospital, Christchurch, New Zealand"},{"name":"Department of Surgery, University of Otago Christchurch, Christchurch, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Laing","sequence":"additional","affiliation":[{"name":"Department of Radiology, Christchurch Hospital, Christchurch, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adib","family":"Khanafer","sequence":"additional","affiliation":[{"name":"Department of Vascular, Endovascular and Transplant Surgery, Christchurch Hospital, Christchurch, New Zealand"},{"name":"Department of Surgery, University of Otago Christchurch, Christchurch, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,7,26]]},"reference":[{"key":"bibr1-17085381231192727","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2014.02.072"},{"key":"bibr2-17085381231192727","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2018.09.016"},{"key":"bibr3-17085381231192727","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezy133"},{"key":"bibr4-17085381231192727","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.120.016695"},{"key":"bibr5-17085381231192727","doi-asserted-by":"publisher","DOI":"10.1177\/17085381231153219"},{"issue":"20","key":"bibr6-17085381231192727","first-page":"6","volume":"48","author":"Spear R","year":"2014","journal-title":"Eur J Vasc Endovasc Surg: The Official Journal of the European Society for Vascular 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