{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T04:18:54Z","timestamp":1776399534366,"version":"3.51.2"},"reference-count":7,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,6,21]],"date-time":"2024-06-21T00:00:00Z","timestamp":1718928000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,6,21]],"date-time":"2024-06-21T00:00:00Z","timestamp":1718928000000},"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>Acute Stanford type- A aortic dissections make up a large part of emergency cardiac surgery. They also carry a significant burden of morbidity. New techniques to aid aortic remodelling include the Ascyrus Medical Dissection Stent (AMDS): Its increasing use, looks to present a potential problem in cases where surgery involving the aortic arch may be required.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case report<\/jats:title>\n                <jats:p>We present the case of a 49-year-old male who underwent urgent redo-surgery for total arch replacement and de-branching following recent replacement of the ascending aorta for acute type-A dissection, where an AMDS stent was deployed. The patient underwent total arch replacement with a stented tri-furcate prosthesis and de-branching of arch vessels with the stent landed inside the previous AMDS, to good effect.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>This case highlights a possible approach to aortic arch surgery in patients who have previous had AMDS insertion.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s13019-024-02825-5","type":"journal-article","created":{"date-parts":[[2024,6,21]],"date-time":"2024-06-21T02:02:14Z","timestamp":1718935334000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Aortic arch de-branching for suspected expanding perigraft haematoma after previous acute type-A dissection repair with AMDS stent: a technique for a potential future problem"],"prefix":"10.1186","volume":"19","author":[{"given":"Rickesh","family":"Karsan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Niamh","family":"Shearer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ciara","family":"Doyle","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachel","family":"Roberts","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alsir","family":"Ahmed","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,6,21]]},"reference":[{"key":"2825_CR1","first-page":"95","volume":"36","author":"M Montagner","year":"2020","unstructured":"Montagner M, Heck R, Kofler M, Buz S, Starck C, S\u00fcndermann S, et al. New Hybrid Prosthesis for Acute Type A aortic dissection. Surg Technol Int. 2020;36:95\u20137.","journal-title":"Surg Technol Int"},{"issue":"2","key":"2825_CR2","doi-asserted-by":"publisher","first-page":"463","DOI":"10.1016\/j.athoracsur.2020.05.090","volume":"111","author":"SJ Bozso","year":"2021","unstructured":"Bozso SJ, Nagendran J, Chu MWA, Kiaii B, El-Hamamsy I, Ouzounian M, et al. Midterm outcomes of the dissected aorta repair through Stent Implantation Trial. Ann Thorac Surg. 2021;111(2):463\u201370.","journal-title":"Ann Thorac Surg"},{"issue":"5","key":"2825_CR3","doi-asserted-by":"publisher","first-page":"1763","DOI":"10.1016\/j.jtcvs.2018.09.120","volume":"157","author":"SJ Bozso","year":"2019","unstructured":"Bozso SJ, Nagendran J, MacArthur RGG, Chu MWA, Kiaii B, El-Hamamsy I, et al. Dissected Aorta Repair through Stent Implantation trial: Canadian results. J Thorac Cardiovasc Surg. 2019;157(5):1763\u201371.","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2825_CR4","doi-asserted-by":"crossref","unstructured":"Roselli EE, Vargo PR. Bare stenting of acute dissection: a gentle push forward. Eur J Cardiothorac Surg. 2023;63(3).","DOI":"10.1093\/ejcts\/ezad039"},{"issue":"5","key":"2825_CR5","doi-asserted-by":"publisher","first-page":"867","DOI":"10.1093\/ejcts\/ezx223","volume":"52","author":"K Tamura","year":"2017","unstructured":"Tamura K, Chikazawa G, Hiraoka A, Totsugawa T, Sakaguchi T, Yoshitaka H. The prognostic impact of distal anastomotic new entry after acute type I aortic dissection repair. Eur J Cardiothorac Surg. 2017;52(5):867\u201373.","journal-title":"Eur J Cardiothorac Surg"},{"key":"2825_CR6","doi-asserted-by":"crossref","unstructured":"Luehr M, Gaisendrees C, Yilmaz AK, Winderl L, Schlachtenberger G, Van Linden A et al. Treatment of acute type a aortic dissection with the Ascyrus Medical Dissection Stent in a consecutive series of 57 cases. Eur J Cardiothorac Surg. 2023;63(3).","DOI":"10.1093\/ejcts\/ezac581"},{"issue":"7","key":"2825_CR7","doi-asserted-by":"publisher","first-page":"596","DOI":"10.1177\/02184923221147442","volume":"31","author":"M Al-Tawil","year":"2023","unstructured":"Al-Tawil M, Jubouri M, Tan SZ, Bailey DM, Williams IM, Mariscalco G, et al. Thoraflex Hybrid vs. AMDS: to replace the arch or to stent it in type A aortic dissection? Asian Cardiovasc Thorac Ann. 2023;31(7):596\u2013603.","journal-title":"Asian Cardiovasc Thorac Ann"}],"container-title":["Journal of Cardiothoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13019-024-02825-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13019-024-02825-5\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13019-024-02825-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,6,21]],"date-time":"2024-06-21T02:06:45Z","timestamp":1718935605000},"score":1,"resource":{"primary":{"URL":"https:\/\/cardiothoracicsurgery.biomedcentral.com\/articles\/10.1186\/s13019-024-02825-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6,21]]},"references-count":7,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["2825"],"URL":"https:\/\/doi.org\/10.1186\/s13019-024-02825-5","relation":{},"ISSN":["1749-8090"],"issn-type":[{"value":"1749-8090","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,6,21]]},"assertion":[{"value":"3 March 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"8 June 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"21 June 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.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Consent of patient for publication of case and images gained.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"Not applicable.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"339"}}