{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,5,23]],"date-time":"2024-05-23T00:31:19Z","timestamp":1716424279031},"reference-count":7,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,5,22]],"date-time":"2024-05-22T00:00:00Z","timestamp":1716336000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,5,22]],"date-time":"2024-05-22T00:00:00Z","timestamp":1716336000000},"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>Our patient presented with acute back pain and dyspnea, without neurological symptoms. The computed tomography (CT) scan showed a circumferent rupture of the ascending aortic intima which was invaginated in the arch and descending aorta.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>A 54-year-old male patient was diagnosed with a Type A aortic dissection. He was immediately transferred to our operation room (OR) from the emergency department of a peripheral hospital. He presented with a circumferential dissection of the ascending aorta originating just distal to the coronary ostia, with the invaginated intimal mass extending through the arch down the descending aorta. In mild hypothermia, the intimal mass was safely extracted and a frozen elephant trunk (FET) procedure was performed.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Despite the extensive dissection affecting the ascending aorta and aortic arch, resulting in partially occluded supra-aortic vessels by an intimal mass, the patient remained without neurological symptoms in the pre- and post-operative period and remains well one year post surgery.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s13019-024-02765-0","type":"journal-article","created":{"date-parts":[[2024,5,22]],"date-time":"2024-05-22T09:01:42Z","timestamp":1716368502000},"update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Circumferent dissection of the ascending aorta resulting in the occlusion of supra-aortic vessels repaired using the frozen elephant trunk technique - a case report"],"prefix":"10.1186","volume":"19","author":[{"given":"Frieda-Maria","family":"Kainz","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathrin","family":"Freystaetter","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Felix","family":"Nagel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dominik","family":"Wiedemann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bruno K.","family":"Podesser","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,5,22]]},"reference":[{"key":"2765_CR1","doi-asserted-by":"publisher","unstructured":"Isselbacher EM, Preventza O, Hamilton Black J, Augoustides JG, Beck AW, Bolen MA, Braverman AC, Bray BE, Brown-Zimmerman MM, Chen EP, Collins TJ, DeAnda A, Fanola CL, Girardi LN, Hicks CW, Hui DS, Schuyler Jones W, Kalahasti V, Kim KM, Milewicz DM, Oderich GS, Ogbechie L, Promes SB, Gyang Ross E, Schermerhorn ML, Singleton Times S, Tseng EE, Wang GJ, Woo YJ. 2022 ACC\/AHA Guideline for the Diagnosis and Management of Aortic Disease: A Report of the American Heart Association\/American College of Cardiology Joint Committee on Clinical Practice Guidelines. Circulation [Internet]. 2022 Dec 13 [cited 2023 Apr 5];146(24). https:\/\/doi.org\/10.1161\/CIR.0000000000001106.","DOI":"10.1161\/CIR.0000000000001106"},{"issue":"5\u20136","key":"2765_CR2","first-page":"290","volume":"73","author":"V Tchana-Sato","year":"2018","unstructured":"Tchana-Sato V, Sakalihasan N, Defraigne JO. [Aortic dissection]. Rev Med Liege. 2018;73(5\u20136):290\u20135. PMID: 29926568.","journal-title":"Rev Med Liege"},{"issue":"4","key":"2765_CR3","doi-asserted-by":"publisher","first-page":"426","DOI":"10.3400\/avd.cr.20-00104","volume":"13","author":"Y Yamashita","year":"2020","unstructured":"Yamashita Y, Nakagawa S, Kitamoto S, Sakamoto K, Horii T. A case of circumferential type a aortic dissection with intimo\u2013intimal intussusception. Ann Vasc Dis. 2020;13(4):426\u20139.","journal-title":"Ann Vasc Dis"},{"issue":"5","key":"2765_CR4","doi-asserted-by":"publisher","first-page":"759","DOI":"10.1093\/ejcts\/ezv085","volume":"47","author":"M Shrestha","year":"2015","unstructured":"Shrestha M, Bachet J, Bavaria J, Carrel TP, De Paulis R, Di Bartolomeo R, Etz CD, Grabenw\u00f6ger M, Grimm M, Haverich A, Jakob H, Martens A, Mestres CA, Pacini D, Resch T, Schepens M, Urbanski PP, Czerny M. Current status and recommendations for use of the frozen elephant trunk technique: a position paper by the vascular domain of EACTS. Eur J Cardio-Thorac Surg off J Eur Assoc Cardio-Thorac Surg. 2015;47(5):759\u201369. PMID: 25769463.","journal-title":"Eur J Cardio-Thorac Surg off J Eur Assoc Cardio-Thorac Surg"},{"key":"2765_CR5","doi-asserted-by":"crossref","unstructured":"Di Bartolomeo R, Pantaleo A, Berretta P, Murana G, Castrovinci S, Cefarelli M, Folesani G, Di Eusanio M. Frozen elephant trunk surgery in acute aortic dissection. J Thorac Cardiovasc Surg. 2015;149(2 Suppl):S105-109. PMID: 25212056.","DOI":"10.1016\/j.jtcvs.2014.07.098"},{"issue":"9","key":"2765_CR6","first-page":"894","volume":"57","author":"P Chivasso","year":"2021","unstructured":"Chivasso P, Mastrogiovanni G, Miele M, Bruno VD, Rosciano A, Montella AP, Triggiani D, Colombino M, Cafarelli F, Leone R, Masiello P, Iesu S. Frozen Elephant trunk technique in Acute Type A aortic dissection: is it for all? Medicina. (Mex). 2021;57(9):894. PMCID: PMC8467885.","journal-title":"(Mex)"},{"issue":"3","key":"2765_CR7","doi-asserted-by":"publisher","first-page":"230","DOI":"10.21037\/acs-2019-fet-10","volume":"9","author":"T Berger","year":"2020","unstructured":"Berger T, Czerny M. The frozen elephant trunk technique in acute and chronic aortic dissection: intraoperative setting and patient selection are key to success. Ann Cardiothorac Surg. 2020;9(3):230\u20132. PMCID: PMC7298241.","journal-title":"Ann Cardiothorac Surg"}],"container-title":["Journal of Cardiothoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13019-024-02765-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13019-024-02765-0\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13019-024-02765-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,22]],"date-time":"2024-05-22T09:07:30Z","timestamp":1716368850000},"score":1,"resource":{"primary":{"URL":"https:\/\/cardiothoracicsurgery.biomedcentral.com\/articles\/10.1186\/s13019-024-02765-0"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,22]]},"references-count":7,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["2765"],"URL":"https:\/\/doi.org\/10.1186\/s13019-024-02765-0","relation":{},"ISSN":["1749-8090"],"issn-type":[{"value":"1749-8090","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,5,22]]},"assertion":[{"value":"12 May 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"30 March 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"22 May 2024","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. Patient consent applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Consent signed.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"298"}}