{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T23:48:34Z","timestamp":1740181714594,"version":"3.37.3"},"reference-count":5,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2022,11,8]],"date-time":"2022-11-08T00:00:00Z","timestamp":1667865600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,11,8]],"date-time":"2022-11-08T00:00:00Z","timestamp":1667865600000},"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":["Egypt Heart J"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>We present a technique for aortic composite graft implantation after left ventricular outflow tract destruction due to its proximal dehiscence.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>A 53-year-old gentleman with rheumatoid arthritis and history of Bentall procedure, presented with heart failure symptoms for the past month. Transthoracic echocardiogram identified prosthetic valve dysfunction, and transesophageal echocardiogram detected that its mechanism was by dehiscence. After excluding infectious etiology, it was hypothesized that the cause was the absence of endothelialization, owing to immunosuppressive therapy. Repair surgery was successful, and 2 years later, the patient is fully asymptomatic.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Immunosuppressive drugs are a rare cause of aortic composite graft dehiscence. Left ventricular outflow tract surgical reconstruction remains an extremely complex and high-risk intervention, with the need for reentry into cardiopulmonary bypass and graft proximal segment implantation in a lower position.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s43044-022-00307-4","type":"journal-article","created":{"date-parts":[[2022,11,8]],"date-time":"2022-11-08T09:03:22Z","timestamp":1667898202000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Repairing left ventricular outflow after aortic composite graft pseudoaneurysm: case report"],"prefix":"10.1186","volume":"74","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8527-8751","authenticated-orcid":false,"given":"Rita","family":"Caldeira da Rocha","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kisa","family":"Congo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manuel","family":"Trinca","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00c1lvaro","family":"Laranjeira Santos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2022,11,8]]},"reference":[{"key":"307_CR1","doi-asserted-by":"publisher","first-page":"bcr2014206925","DOI":"10.1136\/bcr-2014-206925","volume":"2014","author":"R Krishna","year":"2014","unstructured":"Krishna R et al (2014) Complete dehiscence and unseated prosthetic aortic valve causing severe aortic insufficiency: an unusual complication of prosthetic valve endocarditis. BMJ Case Rep 2014:bcr2014206925","journal-title":"BMJ Case Rep"},{"key":"307_CR2","doi-asserted-by":"publisher","first-page":"230","DOI":"10.15761\/GAPM.1000161","volume":"2","author":"L Francis","year":"2017","unstructured":"Francis L et al (2017) Dehiscence of a bioprosthetic mitral valve without endocarditis: a case report. Glob Anesth Perioper Med 2:230\u2013232","journal-title":"Glob Anesth Perioper Med"},{"key":"307_CR3","doi-asserted-by":"publisher","first-page":"81","DOI":"10.1097\/00005344-200501000-00014","volume":"45","author":"A Trapp","year":"2005","unstructured":"Trapp A et al (2005) The impact of immunosuppression on endothelial function. J Cardiovasc Pharmacol 45:81\u201387","journal-title":"J Cardiovasc Pharmacol"},{"issue":"24","key":"307_CR4","doi-asserted-by":"publisher","first-page":"2670","DOI":"10.1016\/j.jacc.2016.09.958","volume":"68","author":"G Dangas","year":"2016","unstructured":"Dangas G et al (2016) Prosthetic heart valve thrombosis. J Am Coll Cardiol 68(24):2670\u20132689","journal-title":"J Am Coll Cardiol"},{"key":"307_CR5","doi-asserted-by":"publisher","first-page":"46","DOI":"10.3389\/fcvm.2018.00046","volume":"5","author":"L Musumeci","year":"2018","unstructured":"Musumeci L et al (2018) Prosthetic aortic valves: challenges and solutions. Front Cardiovasc Med 5:46","journal-title":"Front Cardiovasc Med"}],"container-title":["The Egyptian Heart Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s43044-022-00307-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s43044-022-00307-4\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s43044-022-00307-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,11,8]],"date-time":"2022-11-08T09:11:20Z","timestamp":1667898680000},"score":1,"resource":{"primary":{"URL":"https:\/\/tehj.springeropen.com\/articles\/10.1186\/s43044-022-00307-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11,8]]},"references-count":5,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2022,12]]}},"alternative-id":["307"],"URL":"https:\/\/doi.org\/10.1186\/s43044-022-00307-4","relation":{},"ISSN":["2090-911X"],"issn-type":[{"type":"electronic","value":"2090-911X"}],"subject":[],"published":{"date-parts":[[2022,11,8]]},"assertion":[{"value":"4 July 2022","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"12 September 2022","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"8 November 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":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"The patient consents to publish. The obtained consent was written.","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":"80"}}