{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T15:50:18Z","timestamp":1753890618216,"version":"3.41.2"},"reference-count":8,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,9,4]],"date-time":"2023-09-04T00:00:00Z","timestamp":1693785600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Cardiovasc. Med."],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Open repair and replacement of the diseased aorta is still the standard treatment for type A aortic dissection (TAAD) in most patients. In endovascular treatment alone, ensuring adequate blood supply to the brain while covering the dissection with a stent is difficult.<\/jats:p><\/jats:sec><jats:sec><jats:title>Case presentation<\/jats:title><jats:p>This study includes a 71-year-old male patient with type A aortic dissection presented at a recent follow-up examination after having undergone thoracic endovascular aortic repair (TEVAR) plus left subclavian artery chimney stent reconstruction for descending aortic dissection 5 years ago. Preoperative computed tomographic angiography, computed tomographic perfusion, and transcranial Doppler showed an intact cerebral arterial ring and good collateral circulation. We successfully performed an endovascular repair of the thoracic aorta with venoarterial extracorporeal membrane oxygenation (V-A ECMO) to protect the craniocerebral blood supply, greatly increase the safety of the operation, and ensure a good prognosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>TEVAR under V-A ECMO protection is beneficial for patients with TAAD because of its minimal trauma, rapid recovery, few complications, and low mortality.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fcvm.2023.1242124","type":"journal-article","created":{"date-parts":[[2023,9,4]],"date-time":"2023-09-04T04:55:45Z","timestamp":1693803345000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Thoracic endovascular aortic repair under venoarterial extracorporeal membrane oxygenation for acute aortic dissection patients: a case report"],"prefix":"10.3389","volume":"10","author":[{"given":"Leilei","family":"Zhu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pingping","family":"Dong","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Liwen","family":"Du","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kai","family":"Xun","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peng","family":"Liu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaozhen","family":"Lu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yongwei","family":"Shi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2023,9,4]]},"reference":[{"volume-title":"The future of stenting in patients with type A aortic dissection: a systematic review","year":"2020","author":"Harky","key":"B1"},{"key":"B2","doi-asserted-by":"publisher","first-page":"464","DOI":"10.3400\/avd.ra.18-00127","article-title":"Thoracic endovascular aortic repair for acute aortic dissection","volume":"11","author":"Uchida","year":"2018","journal-title":"Ann Vasc Dis"},{"key":"B3","doi-asserted-by":"publisher","first-page":"389","DOI":"10.21037\/acs.2016.07.08","article-title":"Thoracic endovascular repair for acute type A aortic dissection: operative technique","volume":"5","author":"Aamir","year":"2016","journal-title":"Ann Cardiothorac Surg"},{"key":"B4","doi-asserted-by":"publisher","first-page":"15","DOI":"10.1186\/s40560-018-0287-7","article-title":"Management of acute aortic dissection and thoracic aortic rupture","volume":"6","author":"Fukui","year":"2018","journal-title":"J Intensive Care"},{"key":"B5","doi-asserted-by":"crossref","first-page":"II98","DOI":"10.1177\/15266028020090S216","article-title":"First international summit on thoracic aortic endografting: roundtable on thoracic aortic dissection as an indication for endografting","volume":"9","author":"Mitchell","year":"2002","journal-title":"J Endovasc Ther"},{"key":"B6","doi-asserted-by":"publisher","first-page":"1113","DOI":"10.1111\/aor.12951","article-title":"Veno-arterial extracorporeal membrane oxygenation support in patients undergoing aortic surgery","volume":"41","author":"Zhong","year":"2017","journal-title":"Artif Organs"},{"key":"B7","doi-asserted-by":"publisher","first-page":"220","DOI":"10.1186\/s13019-022-01982-9","article-title":"Femoral artery variation was found during V-A ECMO catheterization","volume":"17","author":"Du","year":"2022","journal-title":"J Cardiothorac Surg"},{"key":"B8","doi-asserted-by":"publisher","first-page":"e2892","DOI":"10.1097\/MD.0000000000002892","article-title":"Correlation between the integrity of the circle of Willis and the severity of initial noncardiac cerebral infarction and clinical prognosis","volume":"95","author":"Zhou","year":"2016","journal-title":"Medicine (Baltimore)"}],"container-title":["Frontiers in Cardiovascular Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fcvm.2023.1242124\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,4]],"date-time":"2023-09-04T04:55:47Z","timestamp":1693803347000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fcvm.2023.1242124\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9,4]]},"references-count":8,"alternative-id":["10.3389\/fcvm.2023.1242124"],"URL":"https:\/\/doi.org\/10.3389\/fcvm.2023.1242124","relation":{},"ISSN":["2297-055X"],"issn-type":[{"type":"electronic","value":"2297-055X"}],"subject":[],"published":{"date-parts":[[2023,9,4]]},"article-number":"1242124"}}