{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,11,8]],"date-time":"2024-11-08T05:23:58Z","timestamp":1731043438192,"version":"3.28.0"},"reference-count":8,"publisher":"Texas Heart Institute Journal","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:p>We present the case of an acute DeBakey type I aortic dissection with malperfusion. The patient underwent valve resuspension, ascending aortic and partial arch replacement, debranching of the innominate artery, and placement of a small-diameter stent within the left common carotid artery, after which antegrade deployment of a stent-graft into the proximal descending thoracic aorta was performed to expand the true lumen. Distal malperfusion was exacerbated by the stent-graft's traversal into the false lumen, necessitating further endovascular repair to reestablish flow to the distal aorta. Mitigation before stent-graft placement (for example, inserting a wire within the true lumen under fluoroscopic guidance to ensure stent-graft placement in the true lumen) and prompt corrective procedures are paramount, given the grim consequences of prolonged distal ischemia.<\/jats:p>","DOI":"10.14503\/thij-21-7764","type":"journal-article","created":{"date-parts":[[2022,8,3]],"date-time":"2022-08-03T12:08:02Z","timestamp":1659528482000},"source":"Crossref","is-referenced-by-count":0,"title":["Distal Aortic Malperfusion Exacerbated by Antegrade Stent-Graft Placement During Hybrid Repair of Acute DeBakey Type I Aortic Dissection"],"prefix":"10.14503","volume":"49","author":[{"given":"Ross M.","family":"Reul","sequence":"first","affiliation":[{"name":"Office of Student Affairs, Baylor College of Medicine, Houston, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan C.","family":"Hong","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph S.","family":"Coselli","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas"},{"name":"Cardiovascular Research Institute, Baylor College of Medicine, Houston, Texas"},{"name":"Department of Cardiovascular Surgery, Texas Heart Institute, Houston, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ourania","family":"Preventza","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas"},{"name":"Department of Cardiovascular Surgery, Texas Heart Institute, Houston, Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5628","reference":[{"issue":"4","key":"i1526-6702-49-4-e217764-b1","series-title":"Semin Thorac Cardiovasc Surg","first-page":"617","article-title":"Contemporary surgical strategies for acute type A aortic dissection","volume":"32","year":"2020","unstructured":"Frankel\n              WC,\n            \n            \n              Green\n              SY,\n            \n            \n              Orozco-Sevilla\n              V,\n            \n            \n              Preventza\n              O,\n            \n            \n              Coselli\n              JS.\n            \n          \n          Contemporary surgical strategies for acute type A aortic dissection.\n\t\t\t\t\tSemin Thorac Cardiovasc Surg2020;32(4):617\u201329."},{"issue":"1","key":"i1526-6702-49-4-e217764-b2","series-title":"J Thorac Cardiovasc Surg","first-page":"119","article-title":"Acute type I aortic dissection: traditional versus hybrid repair with antegrade stent delivery to the descending thoracic aorta","volume":"148","year":"2014","unstructured":"Preventza\n              O,\n            \n            \n              Cervera\n              R,\n            \n            \n              Cooley\n              DA,\n            \n            \n              Bakaeen\n              FG,\n            \n            \n              Mohamed\n              AS,\n            \n            \n              Cheong\n              BYC,\n            \n          \n          .\n\t\t\t\t\tAcute type I aortic dissection: traditional versus hybrid repair with antegrade stent delivery to the descending thoracic aorta.\n\t\t\t\t\tJ Thorac Cardiovasc Surg2014;148(1):119\u201325."},{"issue":"5","key":"i1526-6702-49-4-e217764-b3","series-title":"J Thorac Cardiovasc Surg","first-page":"1273","article-title":"Acute type I aortic dissection with or without antegrade stent delivery: mid-term outcomes","volume":"158","year":"2019","unstructured":"Preventza\n              O,\n            \n            \n              Olive\n              JK,\n            \n            \n              Liao\n              JL,\n            \n            \n              Orozco-Sevilla\n              V,\n            \n            \n              Simpson\n              K,\n            \n            \n              Rodriguez\n              MR,\n            \n          \n          .\n\t\t\t\t\tAcute type I aortic dissection with or without antegrade stent delivery: mid-term outcomes.\n\t\t\t\t\tJ Thorac Cardiovasc Surg2019;158(5):1273\u201381."},{"issue":"5","key":"i1526-6702-49-4-e217764-b4","series-title":"Ann Cardiothorac Surg","first-page":"649","article-title":"Total arch replacement with frozen elephant trunk technique","volume":"2","year":"2013","unstructured":"Preventza\n              O,\n            \n            \n              Al-Najjar\n              R,\n            \n            \n              Lemaire\n              SA,\n            \n            \n              Weldon\n              S,\n            \n            \n              Coselli\n              JS.\n            \n          \n          Total arch replacement with frozen elephant trunk technique.\n\t\t\t\t\tAnn Cardiothorac Surg2013;2(5):649\u201352."},{"issue":"3","key":"i1526-6702-49-4-e217764-b5","series-title":"Ann Cardiothorac Surg","first-page":"156","article-title":"Hemiarch versus total aortic arch replacement in acute type A dissection: a systematic review and meta-analysis","volume":"5","year":"2016","unstructured":"Poon\n              SS,\n            \n            \n              Theologou\n              T,\n            \n    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