{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T22:39:50Z","timestamp":1761172790827,"version":"build-2065373602"},"reference-count":7,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T00:00:00Z","timestamp":1761091200000},"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":"\n Background<\/jats:title>\n Here, we report a rare case of a 45-year-old female with a giant ascending aortic dissecting aneurysm (diameter &gt;10\u2005cm) who underwent a redo sternotomy for rescue.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n The patient had aortic coarctation repair and mechanical aortic valve replacement 20 years earlier. Although the patient had significant surgical risks due to a low hemoglobin level and long-term warfarin use, urgent surgical intervention was deemed necessary. The surgery involved cannulating the femoral artery and vein, splitting the sternum, and carefully dissecting the aneurysm. A 23-mm valve conduit was implanted, and the left coronary ostium was transplanted. The right coronary ostium was anastomosed using the Cabrol technique.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n The surgery was successful, with a total operative time of 4\u2005h and 25\u2005min, cardiopulmonary bypass time of 143\u2005min, and aortic cross-clamp time of 78\u2005min. Postoperatively, the patient experienced frequent episodes of cardiac arrest, which resolved with the implantation of a temporary pacing device. Postoperative imaging showed satisfactory results, and the patient was discharged on the ninth postoperative day.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n This case reports the successful management of a complex and high-risk surgical scenario and provides valuable insight for similar cases.<\/jats:p>\n <\/jats:sec>","DOI":"10.3389\/fcvm.2025.1656155","type":"journal-article","created":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T05:31:08Z","timestamp":1761111068000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Case Report: A rare case of giant ascending aortic dissecting aneurysm requiring redo sternotomy for rescue"],"prefix":"10.3389","volume":"12","author":[{"given":"Biao","family":"Wang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qi","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zengshan","family":"Ma","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xin","family":"Zhao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,10,22]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"108","DOI":"10.12945\/j.aorta.2016.15.028","article-title":"Chronic type A aortic dissection and giant aortic root aneurysm after aortic valve replacement","volume":"4","author":"Puga","year":"2016","journal-title":"AORTA"},{"key":"B2","doi-asserted-by":"publisher","first-page":"e59393","DOI":"10.7759\/cureus.59393","article-title":"Giant aneurysm of ascending aorta and aortic arch: a report of a rare case","volume":"16","author":"Dumani","year":"2024","journal-title":"Cureus"},{"key":"B3","doi-asserted-by":"publisher","first-page":"264","DOI":"10.1186\/s13019-020-01304-x","article-title":"Management of a giant aortic root aneurysm in a young patient with Marfan syndrome: a case report","volume":"15","author":"Shen","year":"2020","journal-title":"J Cardiothorac Surg"},{"key":"B4","doi-asserted-by":"publisher","first-page":"ezad426","DOI":"10.1093\/ejcts\/ezad426","article-title":"EACTS\/STS guidelines for diagnosing and treating acute and chronic syndromes of the aortic organ","volume":"65","author":"Czerny","year":"2024","journal-title":"Eur J Cardiothorac Surg"},{"key":"B5","doi-asserted-by":"publisher","first-page":"715","DOI":"10.1177\/000331970305400612","article-title":"Aortic dissection after aortic valve replacement-a case report and literature review","volume":"54","author":"Picchi","year":"2003","journal-title":"Angiology"},{"key":"B6","doi-asserted-by":"publisher","first-page":"e6","DOI":"10.5830\/CVJA-2016-087","article-title":"Management of a complicated redo giant dissecting aortic aneurysm","volume":"28","author":"Kara","year":"2017","journal-title":"Cardiovasc J Afr"},{"key":"B7","doi-asserted-by":"publisher","first-page":"121","DOI":"10.12945\/j.aorta.2014.14-018","article-title":"Giant aortic root aneurysm presenting as acute type A aortic dissection","volume":"2","author":"Raz","year":"2014","journal-title":"Aorta"}],"container-title":["Frontiers in Cardiovascular Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fcvm.2025.1656155\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T05:31:11Z","timestamp":1761111071000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fcvm.2025.1656155\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,22]]},"references-count":7,"alternative-id":["10.3389\/fcvm.2025.1656155"],"URL":"https:\/\/doi.org\/10.3389\/fcvm.2025.1656155","relation":{},"ISSN":["2297-055X"],"issn-type":[{"value":"2297-055X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,22]]},"article-number":"1656155"}}