{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T04:33:15Z","timestamp":1789101195553,"version":"build-2803163510"},"reference-count":11,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2022,8,2]],"date-time":"2022-08-02T00:00:00Z","timestamp":1659398400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,8,2]],"date-time":"2022-08-02T00:00:00Z","timestamp":1659398400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"University of Bergen"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["surg case rep"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Objective<\/jats:title>\n                <jats:p>Acute aortic dissection type A is among the most lethal surgical emergencies. Patients may suffer from occlusion of the aorta or its branches causing end-organ malperfusion complicating the diagnosis and worsening the prognosis. Paraplegia is a rare manifestation that affects less than 5% of patients. If type A aortic dissection and occlusion of the downstream thoraco-abdominal aorta occur simultaneously and require acute treatment, a medical dilemma occurs; what should be treated first?<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case report<\/jats:title>\n                <jats:p>We describe a case with an extensive acute type A aortic dissection with signs of consciousness and severe malperfusion syndrome.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>The treatment was successfully performed within a hybrid surgery suite with simultaneous open surgery and endovascular repair techniques supported by cardiopulmonary bypass circulation.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>A hybrid operating room might offer the opportunity to simultaneously repair complicated aortic dissection with malperfusion syndrome, by open aortic surgery and endovascular techniques.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s40792-022-01505-7","type":"journal-article","created":{"date-parts":[[2022,8,2]],"date-time":"2022-08-02T04:05:09Z","timestamp":1659413109000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Treatment of acute aortic dissection type A with paraplegia and distal limb ischemia within a hybrid operating room"],"prefix":"10.1186","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5867-5794","authenticated-orcid":false,"given":"Venny Lise","family":"Kvalheim","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Devold","family":"Soknes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guttorm Lysvold","family":"Jenssen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rune","family":"Haaverstad","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,8,2]]},"reference":[{"issue":"2","key":"1505_CR1","doi-asserted-by":"publisher","first-page":"290","DOI":"10.1093\/icvts\/ivu127","volume":"19","author":"NK Perera","year":"2014","unstructured":"Perera NK, et al. Optimal management of acute type A aortic dissection with mesenteric malperfusion. Interact Cardiovasc Thorac Surg. 2014;19(2):290\u20134.","journal-title":"Interact Cardiovasc Thorac Surg"},{"issue":"2","key":"1505_CR2","doi-asserted-by":"publisher","first-page":"255","DOI":"10.1016\/j.ejcts.2007.04.012","volume":"32","author":"A Geirsson","year":"2007","unstructured":"Geirsson A, et al. Significance of malperfusion syndromes prior to contemporary surgical repair for acute type A dissection: outcomes and need for additional revascularizations. Eur J Cardiothorac Surg. 2007;32(2):255\u201362.","journal-title":"Eur J Cardiothorac Surg"},{"issue":"2","key":"1505_CR3","doi-asserted-by":"publisher","first-page":"385","DOI":"10.1016\/j.jtcvs.2012.01.042","volume":"145","author":"M Di Eusanio","year":"2013","unstructured":"Di Eusanio M, et al. Clinical presentation, management, and short-term outcome of patients with type A acute dissection complicated by mesenteric malperfusion: observations from the International Registry of Acute Aortic Dissection. J Thorac Cardiovasc Surg. 2013;145(2):385\u201390.","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"2","key":"1505_CR4","doi-asserted-by":"publisher","first-page":"173","DOI":"10.1053\/j.semtcvs.2016.10.002","volume":"29","author":"AV Kamman","year":"2017","unstructured":"Kamman AV, et al. Visceral malperfusion in aortic dissection: The Michigan experience. Semin Thorac Cardiovasc Surg. 2017;29(2):173\u20138.","journal-title":"Semin Thorac Cardiovasc Surg"},{"issue":"3","key":"1505_CR5","doi-asserted-by":"publisher","first-page":"1118","DOI":"10.1016\/j.athoracsur.2014.01.079","volume":"98","author":"K Tanaka","year":"2014","unstructured":"Tanaka K, et al. Hybrid treatment for type A acute aortic dissection with multiorgan malperfusion. Ann Thorac Surg. 2014;98(3):1118\u201320.","journal-title":"Ann Thorac Surg"},{"key":"1505_CR6","doi-asserted-by":"publisher","first-page":"4","DOI":"10.1186\/1749-8090-5-4","volume":"5","author":"A Suliman","year":"2010","unstructured":"Suliman A, et al. Acute Complex Type A Dissection associated with peripheral malperfusion syndrome treated with a staged approach guided by lactate levels. J Cardiothorac Surg. 2010;5:4.","journal-title":"J Cardiothorac Surg"},{"issue":"6","key":"1505_CR7","doi-asserted-by":"publisher","first-page":"1363","DOI":"10.1016\/j.jtcvs.2009.04.059","volume":"138","author":"E Girdauskas","year":"2009","unstructured":"Girdauskas E, et al. Surgical risk of preoperative malperfusion in acute type A aortic dissection. J Thorac Cardiovasc Surg. 2009;138(6):1363\u20139.","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"5","key":"1505_CR8","doi-asserted-by":"publisher","first-page":"903","DOI":"10.1016\/j.jvs.2007.12.057","volume":"47","author":"DM Barnes","year":"2008","unstructured":"Barnes DM, et al. A single-center experience treating renal malperfusion after aortic dissection with central aortic fenestration and renal artery stenting. J Vasc Surg. 2008;47(5):903\u201310 (discussion 910-1).","journal-title":"J Vasc Surg"},{"issue":"1","key":"1505_CR9","doi-asserted-by":"publisher","first-page":"108","DOI":"10.1016\/j.jtcvs.2015.03.056","volume":"150","author":"A Vendrell","year":"2015","unstructured":"Vendrell A, et al. Aortic dissection with acute malperfusion syndrome: endovascular fenestration via the funnel technique. J Thorac Cardiovasc Surg. 2015;150(1):108\u201315.","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"7","key":"1505_CR10","doi-asserted-by":"publisher","first-page":"897","DOI":"10.1001\/jama.283.7.897","volume":"283","author":"PG Hagan","year":"2000","unstructured":"Hagan PG, et al. The International Registry of Acute Aortic Dissection (IRAD): new insights into an old disease. JAMA. 2000;283(7):897\u2013903.","journal-title":"JAMA"},{"key":"1505_CR11","doi-asserted-by":"publisher","first-page":"112","DOI":"10.1016\/j.avsg.2016.03.012","volume":"36","author":"KM Charlton-Ouw","year":"2016","unstructured":"Charlton-Ouw KM, et al. Need for limb revascularization in patients with acute aortic dissection is associated with mesenteric ischemia. Ann Vasc Surg. 2016;36:112\u201320.","journal-title":"Ann Vasc Surg"}],"container-title":["Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-022-01505-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s40792-022-01505-7\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-022-01505-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,8,2]],"date-time":"2022-08-02T04:06:49Z","timestamp":1659413209000},"score":1,"resource":{"primary":{"URL":"https:\/\/surgicalcasereports.springeropen.com\/articles\/10.1186\/s40792-022-01505-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,8,2]]},"references-count":11,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2022,12]]}},"alternative-id":["1505"],"URL":"https:\/\/doi.org\/10.1186\/s40792-022-01505-7","relation":{},"ISSN":["2198-7793"],"issn-type":[{"value":"2198-7793","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,8,2]]},"assertion":[{"value":"12 May 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"26 July 2022","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"2 August 2022","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Written informed consent was obtained from the patient for the publication of this case report and accompanying images.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"149"}}