{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,25]],"date-time":"2026-02-25T16:51:30Z","timestamp":1772038290052,"version":"3.50.1"},"reference-count":5,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2023,11,9]],"date-time":"2023-11-09T00:00:00Z","timestamp":1699488000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,11,9]],"date-time":"2023-11-09T00:00:00Z","timestamp":1699488000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Cardiothorac Surg"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>The development of fenestrated endograft, Najuta endograft Kawasumi Laboratories, Inc, Tokyo, Japan) in thoracic endovascular aortic repair (TEVAR) has enabled the treatment of aortic arch aneurysms approaching zone 0 without the need of supra-aortic vessel branch reconstruction. However, the indications of Najuta remain controversial due to complications such as endograft collapse, which is rare and lethal.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>We here report a 75-year-old male patient with arch saccular aneurysm. Because of his liver cirrhosis, 2 debranching TEVAR has chosen as a treatment using Najuta. After extrathoracic bypass was performed, a CTAG stent graft was implanted distal to the LSCA in order to deliver Najuta stent graft steadily. Najuta stent graft was successfully positioned in zone 0. However, he was suffered from stent-graft collapse. After additional TEVAR to salvage stent-graft collapse to zone 0, he complicated type A dissection, which was treated by ascending aorta replacement. After salvage operation complicated multiorgan failure and he died.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s13019-023-02436-6","type":"journal-article","created":{"date-parts":[[2023,11,9]],"date-time":"2023-11-09T03:02:28Z","timestamp":1699498948000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["A rare case of lethal Najuta endograft collapse"],"prefix":"10.1186","volume":"18","author":[{"given":"Akihiro","family":"Nakase","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshito","family":"Inoue","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2023,11,9]]},"reference":[{"key":"2436_CR1","doi-asserted-by":"publisher","first-page":"1153","DOI":"10.1016\/j.jtcvs.2009.06.017","volume":"139","author":"L Canaud","year":"2010","unstructured":"Canaud L, Alric P, Desgranges P, Marzelle J, Marty-An\u00e9 C, Becquemin JP. Factors favoring stent-graft collapse after thoracic endovascular aortic repair. J Thorac Cardiovasc Surg. 2010;139:1153\u20137.","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2436_CR2","doi-asserted-by":"publisher","first-page":"722","DOI":"10.1093\/ejcts\/ezaa165","volume":"58","author":"A Furuta","year":"2020","unstructured":"Furuta A, Azuma T, Yokoi Y, Domoto S, Niinami H. The midterm results of thoracic endovascular aortic repair with a precurved fenestrated endograft in zone 0\u20131. Eur J Cardiothorac Surg. 2020;58:722\u20139.","journal-title":"Eur J Cardiothorac Surg"},{"key":"2436_CR3","doi-asserted-by":"publisher","first-page":"521","DOI":"10.1007\/s12055-022-01363-w","volume":"38","author":"T Nakayama","year":"2022","unstructured":"Nakayama T, Nakamura Y, Yasumoto Y, Yoshiyama D, Kuroda M, Nishijima S, et al. Collapse of Najuta endograft (aortic arch graft) in patient with intermittent paraparesis. Indian J Thorac Cardiovasc Surg. 2022;38:521\u20134.","journal-title":"Indian J Thorac Cardiovasc Surg."},{"key":"2436_CR4","doi-asserted-by":"publisher","first-page":"655","DOI":"10.1016\/j.jvs.2006.12.023","volume":"45","author":"BE Muhs","year":"2007","unstructured":"Muhs BE, Balm R, White GH, Verhagen HJ. Anatomic factors associated with acute endograft collapse after Gore TAG treatment of thoracic aortic dissection or traumatic rupture. J Vasc Surg. 2007;45:655\u201361.","journal-title":"J Vasc Surg"},{"key":"2436_CR5","doi-asserted-by":"publisher","first-page":"688","DOI":"10.1093\/icvts\/ivaa171","volume":"31","author":"L Cao","year":"2020","unstructured":"Cao L, Ge Y, He Y, Wang X, Rong D, Lu W, et al. Association between aortic arch angulation and bird-beak configuration after thoracic aortic stent graft repair after type B aortic dissection. Interact Cardiovasc Thorac Surg. 2020;31:688\u201396.","journal-title":"Interact Cardiovasc Thorac Surg"}],"container-title":["Journal of Cardiothoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13019-023-02436-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13019-023-02436-6\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13019-023-02436-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,9]],"date-time":"2023-11-09T03:07:20Z","timestamp":1699499240000},"score":1,"resource":{"primary":{"URL":"https:\/\/cardiothoracicsurgery.biomedcentral.com\/articles\/10.1186\/s13019-023-02436-6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,11,9]]},"references-count":5,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2023,12]]}},"alternative-id":["2436"],"URL":"https:\/\/doi.org\/10.1186\/s13019-023-02436-6","relation":{},"ISSN":["1749-8090"],"issn-type":[{"value":"1749-8090","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,11,9]]},"assertion":[{"value":"28 February 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"4 November 2023","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 November 2023","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"The authors declare that they have no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"306"}}