{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T00:40:09Z","timestamp":1745368809160,"version":"3.40.4"},"reference-count":7,"publisher":"Texas Heart Institute Journal","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,11,1]]},"abstract":"<jats:p>Minimally invasive aortic valve replacement through a right thoracotomy is frequently performed in patients with aortic valve disease. The Cor-Knot Device (LSI Solutions) is an automated fastener that secures valve sutures.<\/jats:p>\n<jats:p>This case report is for a patient who developed postcardiotomy shock during a minimally invasive aortic valve surgery. The patient was found to have an aortic root dissection involving 90% of the aortic root circumference, including bilateral coronary ostia. The autopsy revealed that the aortic damage could be explained by a direct aortic intimal tear from the distal tip of the device shaft. The device was most likely not in perfect apposition to the sewing ring because of the restricted angle and space between the ribs.<\/jats:p>","DOI":"10.14503\/thij-20-7531","type":"journal-article","created":{"date-parts":[[2022,11,30]],"date-time":"2022-11-30T21:17:32Z","timestamp":1669843052000},"source":"Crossref","is-referenced-by-count":0,"title":["Aortic Root Dissection Due to an Automated Fastener Device"],"prefix":"10.14503","volume":"49","author":[{"given":"Ismael A.","family":"Salas De Armas","sequence":"first","affiliation":[{"name":"Department of Advanced Cardiopulmonary Therapies and Transplantation, The University of Texas Health Science Center at Houston (UTHealth), Houston, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L. Maximilian","family":"Buja","sequence":"additional","affiliation":[{"name":"Department of Pathology and Laboratory Medicine, UTHealth, Houston, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manish K.","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of Advanced Cardiopulmonary Therapies and Transplantation, The University of Texas Health Science Center at Houston (UTHealth), Houston, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jayeshkumar","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of Advanced Cardiopulmonary Therapies and Transplantation, The University of Texas Health Science Center at Houston (UTHealth), Houston, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mehmet H.","family":"Akay","sequence":"additional","affiliation":[{"name":"Department of Advanced Cardiopulmonary Therapies and Transplantation, The University of Texas Health Science Center at Houston (UTHealth), Houston, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emre","family":"Gok","sequence":"additional","affiliation":[{"name":"Department of Advanced Cardiopulmonary Therapies and Transplantation, The University of Texas Health Science Center at Houston (UTHealth), Houston, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Igor D.","family":"Gregoric","sequence":"additional","affiliation":[{"name":"Department of Advanced Cardiopulmonary Therapies and Transplantation, The University of Texas Health Science Center at Houston (UTHealth), Houston, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5628","reference":[{"issue":"4","key":"i1526-6702-49-6-e207531-b1","series-title":"Ann Thorac Surg.","first-page":"1499","article-title":"A meta-analysis of minimally invasive versus conventional sternotomy for aortic valve replacement","volume":"98","year":"2014","unstructured":"Phan\nK,\n\n\nXie\nA,\n\n\nDi Eusanio\nM,\n\n\nYan\nTD.\n\n\nA meta-analysis of minimally invasive versus conventional sternotomy for aortic valve replacement.\nAnn Thorac Surg.2014;98(4):1499\u20131511.\ndoi:10.1016\/j.athoracsur.2014.05.060"},{"key":"i1526-6702-49-6-e207531-b2","series-title":"J Cardiothorac Surg.","first-page":"146","article-title":"Automated fastener versus manually tied knots in minimally invasive mitral valve repair: impact on operation time and short-term results","volume":"10","year":"2015","unstructured":"Grapow\nMT,\n\n\nMytsyk\nM,\n\n\nFassl\nJ,\n\n\n.\nAutomated fastener versus manually tied knots in minimally invasive mitral valve repair: impact on operation time and short-term results.\nJ Cardiothorac Surg.2015;10:146.\ndoi:10.1186\/s13019-015-0344-4"},{"issue":"1","key":"i1526-6702-49-6-e207531-b3","series-title":"Ann Cardiothorac Surg.","first-page":"26","article-title":"Minimally invasive aortic valve surgery: state of the art and future directions","volume":"4","year":"2015","unstructured":"Glauber\nM,\n\n\nFerrarini\nM,\n\n\nMiceli\nA.\n\n\nMinimally invasive aortic valve surgery: state of the art and future directions.\nAnn Cardiothorac Surg.2015;4(1):26\u201332.\ndoi:10.3978\/j.issn.2225-319X.2015.01.01"},{"issue":"3","key":"i1526-6702-49-6-e207531-b4","series-title":"J Thorac Cardiovasc Surg.","first-page":"610","article-title":"Minimally invasive aortic valve replacement with sutureless valve is the appropriate treatment option for high-risk patients and the \u201creal alternative\u201d to transcatheter aortic valve implantation","volume":"151","year":"2016","unstructured":"Glauber\nM,\n\n\nMiceli\nA.\n\n\nMinimally invasive aortic valve replacement with sutureless valve is the appropriate treatment option for high-risk patients and the \u201creal alternative\u201d to transcatheter aortic valve implantation.\nJ Thorac Cardiovasc Surg.2016;151(3):610\u2013613.\ndoi:10.1016\/j.jtcvs.2015.10.028"},{"issue":"1","key":"i1526-6702-49-6-e207531-b5","series-title":"Ann Thorac Surg.","first-page":"58","article-title":"Use of an automated suture fastening device in minimally invasive aortic valve replacement","volume":"106","year":"2018","unstructured":"Beute\nTJ,\n\n\nOram\nMD,\n\n\nSchiller\nTM,\n\n\n.\nUse of an automated suture fastening device in minimally invasive aortic valve replacement.\nAnn Thorac Surg.2018;106(1):58\u201362.\ndoi:10.1016\/j.athoracsur.2018.01.073"},{"issue":"6","key":"i1526-6702-49-6-e207531-b6","series-title":"Ann Thorac Surg.","first-page":"e491","article-title":"Valvular regurgitation after implantation of prostheses secured with Cor-Knot automated fasteners","volume":"103","year":"2017","unstructured":"Brescia\nAA,\n\n\nBolling\nSF,\n\n\nPatel\nHJ.\n\n\nValvular regurgitation after implantation of prostheses secured with Cor-Knot automated fasteners.\nAnn Thorac Surg.2017;103(6):e491\u2013e492.\ndoi:10.1016\/j.athoracsur.2016.11.035"},{"issue":"1","key":"i1526-6702-49-6-e207531-b7","series-title":"Thorac Cardiovasc Surg Rep.","first-page":"e40","article-title":"Delayed metallic embolization of a Cor-Knot fastener","volume":"6","year":"2017","unstructured":"Garrett\nHE\nJr.\n\n\nDelayed metallic embolization of a Cor-Knot fastener.\nThorac Cardiovasc Surg Rep.2017;6(1):e40\u2013e41.\ndoi:10.1055\/s-0037-1612613"}],"container-title":["Texas Heart Institute Journal"],"original-title":[],"link":[{"URL":"https:\/\/thij.kglmeridian.com\/view\/journals\/thij\/49\/6\/article-e207531.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/meridian.allenpress.com\/thij\/article-pdf\/doi\/10.14503\/THIJ-20-7531\/3415221\/i1526-6702-49-6-e207531.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thij.kglmeridian.com\/downloadpdf\/journals\/thij\/49\/6\/article-e207531.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thij.kglmeridian.com\/downloadpdf\/journals\/thij\/49\/6\/article-e207531.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T00:02:49Z","timestamp":1745366569000},"score":1,"resource":{"primary":{"URL":"https:\/\/thij.kglmeridian.com\/view\/journals\/thij\/49\/6\/article-e207531.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11,1]]},"references-count":7,"journal-issue":{"issue":"6"},"URL":"https:\/\/doi.org\/10.14503\/thij-20-7531","relation":{},"ISSN":["1526-6702","0730-2347"],"issn-type":[{"type":"electronic","value":"1526-6702"},{"type":"print","value":"0730-2347"}],"subject":[],"published":{"date-parts":[[2022,11,1]]}}}