{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T21:54:20Z","timestamp":1740174860169,"version":"3.37.3"},"reference-count":8,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2022,12,15]],"date-time":"2022-12-15T00:00:00Z","timestamp":1671062400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,12,15]],"date-time":"2022-12-15T00:00:00Z","timestamp":1671062400000},"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":["surg case rep"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Intrapulmonary penetration of the thoracic aorta is a rare, life-threatening complication of a chronic dissecting aortic aneurysm. It causes massive hemoptysis requiring prompt intervention to prevent fatal airway bleeding. A surgical approach that enables diverse surgical maneuvers and intraoperative organ protection is crucial.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>A 62-year-old man, who underwent graft replacement of the ascending aorta for an acute type A aortic dissection 20\u00a0months before, developed massive hemoptysis and cardiac arrest. The hemoptysis was secondary to an aortopulmonary fistula from a rapidly expanding dissecting aortic aneurysm. However, a successful return of spontaneous circulation was achieved with cardiopulmonary resuscitation, including establishment of veno-arterial extracorporeal membrane oxygenation. The patient successfully underwent a total arch and descending thoracic aortic replacement. This was achieved by a median sternotomy combined with a left thoracotomy using a straight incision with a rib-cross (SIRC) approach. The patient was uneventfully discharged and remained well for the following 2\u00a0years.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>When performing a surgical graft replacement for an aortopulmonary fistula with a thoracic aortic aneurysm, the surgical approach chosen is critical. A surgical procedure using a median sternotomy combined with a left thoracotomy and a SIRC approach can be an effective therapeutic option.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s40792-022-01573-9","type":"journal-article","created":{"date-parts":[[2022,12,15]],"date-time":"2022-12-15T03:07:43Z","timestamp":1671073663000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Total arch and descending thoracic aortic replacement for massive hemoptysis requiring CPR caused by intrapulmonary penetration of chronic dissecting aortic aneurysm: a case report"],"prefix":"10.1186","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2987-5316","authenticated-orcid":false,"given":"Tsubasa","family":"Mikami","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takashi","family":"Yamauchi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Satoshi","family":"Sakakibara","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshito","family":"Ito","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hitoshi","family":"Suhara","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yukio","family":"Hayashi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toru","family":"Kuratani","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takafumi","family":"Masai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshiki","family":"Sawa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2022,12,15]]},"reference":[{"key":"1573_CR1","doi-asserted-by":"publisher","first-page":"1998","DOI":"10.1016\/S0003-4975(02)04837-3","volume":"75","author":"M Picich\u00e8","year":"2003","unstructured":"Picich\u00e8 M, De Paulis R, Fabbri A, Chiariello L. Postoperative aortic fistulas into the airways: etiology, pathogenesis, presentation, diagnosis, and management. Ann Thorac Surg. 2003;75:1998\u20132006.","journal-title":"Ann Thorac Surg"},{"key":"1573_CR2","doi-asserted-by":"publisher","first-page":"93","DOI":"10.1007\/s11748-019-01271-8","volume":"68","author":"SM Yuan","year":"2020","unstructured":"Yuan SM. Aortobronchial fistula. Gen Thorac Cardiovasc Surg. 2020;68:93\u2013101.","journal-title":"Gen Thorac Cardiovasc Surg"},{"key":"1573_CR3","doi-asserted-by":"publisher","first-page":"2683","DOI":"10.2169\/internalmedicine.8627-16","volume":"56","author":"N Ashida-Urata","year":"2017","unstructured":"Ashida-Urata N, Nomura T, Kamiya H, Keira N. Hemoptysis is a critical sign of aortobronchial fistula. Intern Med. 2017;56:2683\u20134.","journal-title":"Intern Med"},{"key":"1573_CR4","doi-asserted-by":"publisher","first-page":"367","DOI":"10.1093\/icvts\/ivw140","volume":"23","author":"K Minatoya","year":"2016","unstructured":"Minatoya K, Seike Y, Itonaga T, Oda T, Inoue Y, Kawamoto N, et al. Straight incision for extended descending and thoracoabdominal aortic replacement: novel and simple exposure with rib-cross thoracotomy. Interact Cardiovasc Thorac Surg. 2016;23:367\u201370.","journal-title":"Interact Cardiovasc Thorac Surg"},{"key":"1573_CR5","doi-asserted-by":"publisher","first-page":"114","DOI":"10.1186\/1749-8090-6-114","volume":"6","author":"H Iwasaki","year":"2011","unstructured":"Iwasaki H, Satoh H, Ishizaka T, Matsuda H. Outcomes of single-stage total arch replacement via clamshell incision. J Cardiothorac Surg. 2011;6:114.","journal-title":"J Cardiothorac Surg"},{"key":"1573_CR6","doi-asserted-by":"publisher","first-page":"1926","DOI":"10.1016\/j.jtcvs.2017.10.158","volume":"155","author":"NT Kouchoukos","year":"2018","unstructured":"Kouchoukos NT, Kulik A, Castner CF. Clinical outcomes and rates of aortic growth and reoperation after 1-stage repair of extensive chronic thoracic aortic dissection. J Thorac Cardiovasc Surg. 2018;155:1926\u201335.","journal-title":"J Thorac Cardiovasc Surg"},{"key":"1573_CR7","doi-asserted-by":"publisher","first-page":"327","DOI":"10.1093\/icvts\/ivs524","volume":"16","author":"N Ishikawa","year":"2013","unstructured":"Ishikawa N, Omoto T, Ono M, Miyauchi T, Oi M, Maruta K, et al. Antero-lateral partial sternotomy for extensive thoracic aortic aneurysm. Interact Cardiovasc Thorac Surg. 2013;16:327\u201331.","journal-title":"Interact Cardiovasc Thorac Surg"},{"key":"1573_CR8","doi-asserted-by":"publisher","first-page":"395","DOI":"10.5761\/atcs.nm.11.01744","volume":"18","author":"N Uchida","year":"2012","unstructured":"Uchida N, Katayama A, Tamura K, Sutoh M, Kuraoka M, Sueda T. New approach for extended thoracic aortic repair: anterolateral thoracotomy with partial sternotomy. Ann Thorac Cardiovasc Surg. 2012;18:395\u20139.","journal-title":"Ann Thorac Cardiovasc Surg"}],"container-title":["Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-022-01573-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s40792-022-01573-9\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-022-01573-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,12,15]],"date-time":"2022-12-15T03:09:07Z","timestamp":1671073747000},"score":1,"resource":{"primary":{"URL":"https:\/\/surgicalcasereports.springeropen.com\/articles\/10.1186\/s40792-022-01573-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,12,15]]},"references-count":8,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2022,12]]}},"alternative-id":["1573"],"URL":"https:\/\/doi.org\/10.1186\/s40792-022-01573-9","relation":{},"ISSN":["2198-7793"],"issn-type":[{"type":"electronic","value":"2198-7793"}],"subject":[],"published":{"date-parts":[[2022,12,15]]},"assertion":[{"value":"11 June 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"28 November 2022","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"15 December 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":"The Institutional Review Board of the Sakurabashi Watanabe Hospital approved this study (approval no. 21-21). Written informed consent was obtained for the surgical procedure from the patient\u2019s legal guardian.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent for publication of this case report was obtained from the patient.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"221"}}