{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T16:30:37Z","timestamp":1745425837907,"version":"3.28.0"},"reference-count":5,"publisher":"Texas Heart Institute Journal","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,6]]},"abstract":"One of the most challenging conditions to manage after previous cardiac surgery is chronic dissection of the ascending aorta. We operated on a 54-year-old man who had aortic dissection in addition to large aortic dimensions very close to the sternum, severe aortic regurgitation, and a false lumen in the descending aorta. We used a combination of perfusion and myocardial protection techniques, arising from port-access technology, that enabled antegrade flow into the aorta, endoclamping of the ascending aorta, the administration of cardioplegic solution before opening the sternum, and left ventricular venting to prevent ventricular distention. Our technique resulted in minimal blood loss, shorter circulatory-arrest and operative times, the ability to operate on a decompressed heart and descending aorta, good myocardial protection, and easier and safer access to the heart. Three years postoperatively, our patient was doing well.<\/jats:p>\n Other patients might benefit from this approach; however, the surgeon must ensure that an aortic segment is suitable for endoclamping.<\/jats:p>","DOI":"10.14503\/thij-16-5800","type":"journal-article","created":{"date-parts":[[2017,6,30]],"date-time":"2017-06-30T21:32:37Z","timestamp":1498858357000},"page":"202-204","source":"Crossref","is-referenced-by-count":2,"title":["Modified Port-Access Technique for the Treatment of Aortic Dissection after Previous Cardiac Surgery"],"prefix":"10.14503","volume":"44","author":[{"given":"Edvin","family":"Prifti","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aurel","family":"Demiraj","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roland","family":"Xhaxho","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5628","reference":[{"issue":"3","key":"i1526-6702-44-3-202-b1","series-title":"Eur J Cardiothorac Surg","first-page":"453","article-title":"Late dissection of the ascending aorta after previous cardiac surgery: risk, presentation and outcome","volume":"21","year":"2002","unstructured":"Stanger\n O\n , OberwalderP, DacarD, KnezI, RiglerB.\n Late dissection of the ascending aorta after previous cardiac surgery: risk, presentation and outcome. Eur J Cardiothorac Surg2002;21(3):453\u20138."},{"issue":"4","key":"i1526-6702-44-3-202-b2","series-title":"Ann Thorac Surg","first-page":"1303","article-title":"Endovascular aortic clamping for pseudoaneurysms of the aortic root with aortic regurgitation","volume":"80","year":"2005","unstructured":"Maselli\n D\n , SantiseG, MontaltoA, MusumeciF.\n Endovascular aortic clamping for pseudoaneurysms of the aortic root with aortic regurgitation. Ann Thorac Surg2005;80(4):1303\u20138."},{"issue":"3","key":"i1526-6702-44-3-202-b3","series-title":"Ann Thorac Surg","first-page":"1010","article-title":"Management of pseudoaneurysm of the ascending aorta performed under circulatory arrest by port-access","volume":"71","year":"2001","unstructured":"D'Attelis\n N\n , DiemontFF, JuliaPL, CardonC, FabianiJN.\n Management of pseudoaneurysm of the ascending aorta performed under circulatory arrest by port-access. Ann Thorac Surg2001;71(3):1010\u20131."},{"issue":"2","key":"i1526-6702-44-3-202-b4","series-title":"Eur J Cardiothorac Surg","first-page":"e75","article-title":"Intra-aortic balloon clamp for safe resternotomy in a patient with a giant aneurysm of sinuses of Valsalva","volume":"47","year":"2015","unstructured":"Zembala\n MO\n , FilipiakK, NiklewskiT, PrzybylskiR.\n Intra-aortic balloon clamp for safe resternotomy in a patient with a giant aneurysm of sinuses of Valsalva. Eur J Cardiothorac Surg2015;47(2):e75\u20136."},{"issue":"2","key":"i1526-6702-44-3-202-b5","series-title":"Am J Cardiol","first-page":"183","article-title":"Utility of transesophageal echocardiography during port-access minimally invasive cardiac surgery","volume":"82","year":"1998","unstructured":"Applebaum\n RM\n , CutlerWM, BhardwajN, ColvinSB, GallowayAC, RibakoveGH, \n et al. Utility of transesophageal echocardiography during port-access minimally invasive cardiac surgery. Am J Cardiol1998;82(2):183\u20138."}],"container-title":["Texas Heart Institute Journal"],"original-title":[],"link":[{"URL":"https:\/\/thij.kglmeridian.com\/view\/journals\/thij\/44\/3\/article-p202.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/meridian.allenpress.com\/thij\/article-pdf\/44\/3\/202\/1968528\/thij-16-5800.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thij.kglmeridian.com\/downloadpdf\/journals\/thij\/44\/3\/article-p202.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thij.kglmeridian.com\/downloadpdf\/journals\/thij\/44\/3\/article-p202.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,7]],"date-time":"2024-11-07T15:32:47Z","timestamp":1730993567000},"score":1,"resource":{"primary":{"URL":"https:\/\/thij.kglmeridian.com\/view\/journals\/thij\/44\/3\/article-p202.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,6]]},"references-count":5,"journal-issue":{"issue":"3"},"URL":"https:\/\/doi.org\/10.14503\/thij-16-5800","relation":{},"ISSN":["0730-2347","1526-6702"],"issn-type":[{"type":"print","value":"0730-2347"},{"type":"electronic","value":"1526-6702"}],"subject":[],"published":{"date-parts":[[2017,6]]}}}