{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,6,29]],"date-time":"2024-06-29T00:26:33Z","timestamp":1719620793649},"reference-count":10,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,6,28]],"date-time":"2024-06-28T00:00:00Z","timestamp":1719532800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,6,28]],"date-time":"2024-06-28T00:00:00Z","timestamp":1719532800000},"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 surgical evaluation and management of non-A non-B aortic dissections, in the absence of ascending aortic involvement, remains a grey area. It is in these scenarios when thorough evaluation of patient\/family history, clinical presentation, but also overall lifestyle, is of immense importance when determining an optimal intervention.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>We present a 38-year-old\u00a0patient with a physically demanding lifestyle as a professional wrestler, uncontrolled hypertension due to history of medical non-adherence, and family history of aortic dissection who presented with acute non-A non-B aortic dissection. He was spared a  total arch replacement by undergoing a hybrid approach of complete aortic debranching with antegrade Thoracic Endovascular Aortic Repair (TEVAR). The patient was able to benefit from reduced cardiopulmonary bypass (CPB) time, avoidance of aortic cross clamp, circulatory arrest, and hypothermic circulation.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>This patient\u2019s unique composition of a physically demanding lifestyle, personal history of medical non-adherence, family history of aortic dissection, and clinical presentation required a holistic approach to understanding an ideal intervention that\u00a0would be best suited long-term. Due to this contextualization, the patient was able to be spared a total arch replacement, or suboptimal medical management, by instead undergoing a hybrid-approach with total aortic arch debranching with antegrade TEVAR.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s13019-024-02917-2","type":"journal-article","created":{"date-parts":[[2024,6,28]],"date-time":"2024-06-28T02:01:42Z","timestamp":1719540102000},"update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Total aortic arch debranching with antegrade Thoracic Endovascular Aortic Repair (TEVAR) in acute non-A non-B aortic dissection"],"prefix":"10.1186","volume":"19","author":[{"given":"Aaron","family":"Gilani","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benjamin","family":"Schachner","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth","family":"Wood","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zohaib","family":"Khawaja","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bartlomiej","family":"Imielski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,6,28]]},"reference":[{"issue":"3","key":"2917_CR1","doi-asserted-by":"publisher","first-page":"848","DOI":"10.1148\/radiol.14131457","volume":"271","author":"JK Lempel","year":"2014","unstructured":"Lempel JK, Frazier AA, Jeudy J, Kligerman SJ, Schultz R, Ninalowo HA, Gozansky EK, Griffith B, White CS. Aortic arch dissection: a controversy of classification. Radiology. 2014;271(3):848\u201355. https:\/\/doi.org\/10.1148\/radiol.14131457.","journal-title":"Radiology"},{"issue":"6","key":"2917_CR2","doi-asserted-by":"publisher","first-page":"804","DOI":"10.1111\/jch.13556","volume":"21","author":"N Dong","year":"2019","unstructured":"Dong N, Piao H, Li B, Xu J, Wei S, Liu K. Poor management of hypertension is an important precipitating factor for the development of acute aortic dissection. J clin hypertens (Greenwich, Conn). 2019;21(6):804\u201312. https:\/\/doi.org\/10.1111\/jch.13556.","journal-title":"J clin hypertens (Greenwich, Conn.)."},{"issue":"6","key":"2917_CR3","doi-asserted-by":"publisher","first-page":"1446","DOI":"10.1016\/s0149-2918(97)80018-5","volume":"19","author":"JA Rizzo","year":"1997","unstructured":"Rizzo JA, Simons WR. Variations in compliance among hypertensive patients by drug class: implications for health care costs. Clin Ther. 1997;19(6):1446-57. https:\/\/doi.org\/10.1016\/s0149-2918(97)80018-5.","journal-title":"Clin Ther"},{"issue":"5","key":"2917_CR4","first-page":"669","volume":"51","author":"C Mayerick","year":"2010","unstructured":"Mayerick C, Carr\u00e9 F, Elefteriades J. Aortic dissection and sport: physiologic and clinical understanding provide an opportunity to save young lives. J Cardiovasc Surg. 2010;51(5):669\u201381.","journal-title":"J Cardiovasc Surg"},{"issue":"1","key":"2917_CR5","doi-asserted-by":"publisher","first-page":"79","DOI":"10.1016\/s0196-0644(03)00818-7","volume":"43","author":"SN Hasham","year":"2004","unstructured":"Hasham SN, Lewin MR, Tran VT, Pannu H, Muilenburg A, Willing M, Milewicz DM. Nonsyndromic genetic predisposition to aortic dissection: a newly recognized, diagnosable, and preventable occurrence in families. Ann Emerg Med. 2004;43(1):79\u201382. https:\/\/doi.org\/10.1016\/s0196-0644(03)00818-7.","journal-title":"Ann Emerg Med"},{"issue":"2","key":"2917_CR6","doi-asserted-by":"publisher","first-page":"367","DOI":"10.1111\/jocs.14386","volume":"35","author":"D Abjigitova","year":"2020","unstructured":"Abjigitova D, Mokhles MM, Papageorgiou G, Bekkers JA, Bogers AJJC. Outcomes of different aortic arch replacement techniques. J Card Surg. 2020;35(2):367\u201374. https:\/\/doi.org\/10.1111\/jocs.14386.","journal-title":"J Card Surg"},{"key":"2917_CR7","doi-asserted-by":"publisher","unstructured":"Martins RS, Ukrani RD, Memon MK, Ahmad W, Akhtar S. Risk factors and outcomes of prolonged cardiopulmonary bypass time in surgery for adult congenital heart disease: a single-center study from a low-middle-income country. J Cardiovasc surg. 2021;62(4):399\u2013407. https:\/\/doi.org\/10.23736\/S0021-9509.21.11583-6.","DOI":"10.23736\/S0021-9509.21.11583-6"},{"issue":"1","key":"2917_CR8","doi-asserted-by":"publisher","first-page":"104","DOI":"10.1016\/j.ijsu.2010.10.007","volume":"9","author":"N Al-Sarraf","year":"2011","unstructured":"Al-Sarraf N, Thalib L, Hughes A, Houlihan M, Tolan M, Young V, McGovern E. Cross-clamp time is an independent predictor of mortality and morbidity in low- and high-risk cardiac patients. International journal of surgery (London, England). 2011;9(1):104\u20139. https:\/\/doi.org\/10.1016\/j.ijsu.2010.10.007.","journal-title":"International journal of surgery (London, England)"},{"key":"2917_CR9","doi-asserted-by":"publisher","unstructured":"Liu H, Wang X, Liu S, Cong S, Lu Y, Yang Y, Wang W, Lai H, Li X, Wei L, Wang C. Postoperative hypothermia after total aortic arch replacement in acute type A aortic dissection-multivariate analysis and risk identification for postoperative hypothermia occurrence. J Thorac Dis. 2020;12(12):7089\u201396. https:\/\/doi.org\/10.21037\/jtd-20-1709.","DOI":"10.21037\/jtd-20-1709"},{"issue":"5","key":"2917_CR10","doi-asserted-by":"publisher","first-page":"244","DOI":"10.4330\/wjc.v15.i5.244","volume":"15","author":"KC Christodoulou","year":"2023","unstructured":"Christodoulou KC, Karangelis D, Efenti GM, Sdrevanos P, Browning JR, Konstantinou F, Georgakarakos E, Mitropoulos FA, Mikroulis D. Current knowledge and contemporary management of non-A non-B aortic dissections. 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