{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T23:10:01Z","timestamp":1780614601643,"version":"3.54.1"},"reference-count":11,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,10,14]],"date-time":"2024-10-14T00:00:00Z","timestamp":1728864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,10,14]],"date-time":"2024-10-14T00:00:00Z","timestamp":1728864000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Johann Wolfgang Goethe-Universit\u00e4t, Frankfurt am Main"}],"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 management of acute type A aortic dissection (ATAAD) using the Ascyrus Medical Dissection Stent (AMDS) can lead to complications due to the persistence of the false lumen (FL). This case report presents two instances of failed AMDS treatment for ATAAD, highlighting the novel use of a trifurcated hybrid prosthesis for redo aortic arch repair using a minimally invasive frozen elephant trunk (FET) technique.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case Presentation<\/jats:title>\n                <jats:p><jats:bold>Case 1<\/jats:bold>: A 57-year-old male, previously treated with AMDS for ATAAD, presented with an enlarging aortic arch and persistent FL two years post-surgery caused by re-entry in the distal aortic arch. Redo surgery using the FET technique with an E-vita OPEN NEO Trifurcated hybrid prosthesis resulted in successful repair and partial FL thrombosis. <jats:bold>Case 2<\/jats:bold>: A 51-year-old male with prior AMDS treatment for ATAAD presented with severe aortic valve regurgitation and a maintained FL perfusion due to a residual re-entry in the proximal region of the descending aorta. Redo surgery using the FET technique with the same hybrid prosthesis led to successful repair and good recovery, confirmed by follow-up imaging.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>The use of the E-vita OPEN NEO Trifurcated hybrid prosthesis in the FET technique offers a promising solution for redo aortic arch repair in cases of failed AMDS treatment for ATAAD. This approach can improve patient outcomes by addressing complications associated with persistent FL and enhancing long-term survival.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s13019-024-03113-y","type":"journal-article","created":{"date-parts":[[2024,10,14]],"date-time":"2024-10-14T10:02:44Z","timestamp":1728900164000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Redo aortic arch repair using trifurcated hybrid prosthesis after failed Ascyrus medical dissection stent treatment"],"prefix":"10.1186","volume":"19","author":[{"given":"Mustafa","family":"Al-Obaidi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Razan","family":"Salem","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Walther","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomas","family":"Holubec","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,10,14]]},"reference":[{"issue":"5","key":"3113_CR1","doi-asserted-by":"publisher","first-page":"1661","DOI":"10.1016\/j.jtcvs.2022.08.040","volume":"167","author":"SJ Bozso","year":"2024","unstructured":"Bozso SJ, Nagendran J, Chu MWA, Kiaii B, El-Hamamsy I, Ouzounian M, et al. Three-year outcomes of the dissected aorta repair through stent implantation trial. J Thorac Cardiovasc Surg. 2024;167(5):1661\u2013e16693.","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"7","key":"3113_CR2","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"},{"issue":"5","key":"3113_CR3","doi-asserted-by":"publisher","first-page":"e321","DOI":"10.1016\/j.athoracsur.2021.02.031","volume":"112","author":"T Holubec","year":"2021","unstructured":"Holubec T, Van Linden A, Bodelle B, Walther T. Frozen Elephant trunk: minimally invasive implantation of a New Trifurcated Hybrid aortic prosthesis. Ann Thorac Surg. 2021;112(5):e321\u20133.","journal-title":"Ann Thorac Surg"},{"key":"3113_CR4","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.xjtc.2021.05.002","volume":"9","author":"A White","year":"2021","unstructured":"White A, Bozso SJ, Ouzounian M, Chu MWA, Moon MC. Acute type a aortic dissection and the consequences of a patent false lumen. JTCVS Techniques. 2021;9:1\u20138.","journal-title":"JTCVS Techniques"},{"issue":"3","key":"3113_CR5","doi-asserted-by":"publisher","first-page":"209","DOI":"10.1080\/14779072.2018.1429913","volume":"16","author":"SJ Bozso","year":"2018","unstructured":"Bozso SJ, White A, Nagendran J, Moon MC, Chu MWA. Hybrid aortic arch and frozen elephant trunk reconstruction: bridging the gap between conventional and total endovascular arch repair. Expert Rev Cardiovasc Ther. 2018;16(3):209\u201317.","journal-title":"Expert Rev Cardiovasc Ther"},{"issue":"2","key":"3113_CR6","doi-asserted-by":"publisher","first-page":"276","DOI":"10.1093\/icvts\/ivab085","volume":"33","author":"M Montagner","year":"2021","unstructured":"Montagner M, Kofler M, Heck R, Buz S, Starck C, Kurz S, et al. Initial experience with the new type a arch dissection stent: restoration of supra-aortic vessel perfusion. Interact Cardiovasc Thorac Surg. 2021;33(2):276\u201383.","journal-title":"Interact Cardiovasc Thorac Surg"},{"issue":"1","key":"3113_CR7","doi-asserted-by":"publisher","first-page":"101","DOI":"10.1016\/j.jtcvs.2018.10.060","volume":"157","author":"GC Hughes","year":"2019","unstructured":"Hughes GC. Stent graft\u2013induced new entry tear (SINE): intentional and NOT. J Thorac Cardiovasc Surg. 2019;157(1):101\u2013e1063.","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"1","key":"3113_CR8","doi-asserted-by":"publisher","first-page":"340","DOI":"10.1186\/s13019-023-02377-0","volume":"18","author":"M Kanj","year":"2023","unstructured":"Kanj M, Cosset B, Oliny A, Farhat F. Implantation of ascyrus medical dissection stent, our first-hand experience. J Cardiothorac Surg. 2023;18(1):340.","journal-title":"J Cardiothorac Surg"},{"issue":"1","key":"3113_CR9","doi-asserted-by":"publisher","first-page":"3046576","DOI":"10.1155\/2018\/3046576","volume":"2018","author":"Y Guan","year":"2018","unstructured":"Guan Y, Lin J, Dong Z, Wang L. Comparative study of the Effect of Structural parameters on the flexibility of endovascular stent grafts. 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