{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T23:23:21Z","timestamp":1788218601151,"version":"build-2803163510"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>The elephant trunk procedure, an endovascular strategy for retrograde type A acute aortic dissection, is associated with several complications, hemolytic anemia being a rare one. We performed endovascular stent-graft insertion in a patient who developed hemolytic anemia. Transesophageal echocardiography (TEE) detected turbulent jet flow and stenosis position, which was not detected by angiography and intravascular ultrasound (IVUS). This imaging technique proved effective for malperfusion diagnosis and enabled us to confirm its resolution after the endovascular procedure. Intraoperative TEE is a useful adjunct to angiography and IVUS for diagnosis and therapeutic assessment during endovascular repair of a stenosed elephant trunk.<\/jats:p>","DOI":"10.4103\/aca.aca_132_23","type":"journal-article","created":{"date-parts":[[2024,4,12]],"date-time":"2024-04-12T13:00:33Z","timestamp":1712926833000},"page":"159-161","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Transesophageal Echocardiography-Guided Elephant Trunk Procedure for Repair of Descending Thoracic Aorta: A Case Report"],"prefix":"10.4103","volume":"27","author":[{"given":"Atsushi","family":"Egawa","sequence":"first","affiliation":[{"name":"Department of Anesthesiology and Critical Care Medicine, Jichi Medical University School of Medicine, Yakushiji, Shimotsuke, Tochigi, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,4,12]]},"reference":[{"key":"R1-20240901","doi-asserted-by":"crossref","first-page":"964","DOI":"10.1016\/j.jtcvs.2012.03.059","article-title":"Thoracic stent graft sizing for frozen elephant trunk repair in acute type A dissection","volume":"145","author":"Hoffman","year":"2013","journal-title":"J Thorac Cardiovasc Surg"},{"key":"R2-20240901","first-page":"1066","article-title":"Frozen elephant trunk technique and partial remodeling for acute type A aortic dissection","volume":"40","author":"Uchida","year":"2011","journal-title":"Eur J Cardiothorac Surg"},{"issue":"(3 Suppl)","key":"R3-20240901","doi-asserted-by":"crossref","first-page":"S197","DOI":"10.1016\/j.jtcvs.2012.11.068","article-title":"Simplified frozen elephant trunk repair for acute DeBakey type I dissection","volume":"145","author":"Roselli","year":"2013","journal-title":"J Thorac Cardiovasc Surg"},{"key":"R4-20240901","doi-asserted-by":"crossref","first-page":"406","DOI":"10.1093\/ejcts\/ezs296","article-title":"Total aortic arch replacement with a novel four-branched frozen elephant trunk graft:First-in-man results","volume":"43","author":"Shrestha","year":"2013","journal-title":"Eur J Cardiothorac Surg"},{"key":"R5-20240901","doi-asserted-by":"crossref","first-page":"971","DOI":"10.1161\/CIRCULATIONAHA.110.015081","article-title":"Total arch replacement combined with stented elephant trunk implantation:A new \u201cstandard\u201dtherapy for type a dissection involving repair of the aortic arch?","volume":"123","author":"Sun","year":"2011","journal-title":"Circulation"},{"issue":"(6 Suppl)","key":"R6-20240901","doi-asserted-by":"crossref","first-page":"S81","DOI":"10.1016\/j.jtcvs.2010.07.039","article-title":"Complex thoracic aortic disease:Single-stage procedure with the frozen elephant trunk technique","volume":"140","author":"Di Bartolomeo","year":"2010","journal-title":"J Thorac Cardiovasc Surg"},{"key":"R7-20240901","doi-asserted-by":"crossref","first-page":"459","DOI":"10.1007\/BF02719604","article-title":"Repeat surgery for hemolysis 6 years after replacement of the ascending aorta for acute aortic dissection","volume":"51","author":"Izumi","year":"2003","journal-title":"Jpn J Thorac Cardiovasc Surg"},{"key":"R8-20240901","doi-asserted-by":"crossref","first-page":"1129","DOI":"10.1053\/j.jvca.2016.01.020","article-title":"Advances in imaging for the management of acute aortic syndromes:Focus on transesophageal echocardiography and type-A aortic dissection for the perioperative echocardiographer","volume":"30","author":"MacKnight","year":"2016","journal-title":"J Cardiothorac Vasc Anesth"},{"key":"R9-20240901","doi-asserted-by":"crossref","first-page":"754","DOI":"10.1001\/jama.2016.10026","article-title":"Acute aortic dissection and intramural hematoma:A systematic review","volume":"316","author":"Mussa","year":"2016","journal-title":"JAMA"}],"container-title":["Annals of Cardiac Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aca.aca_132_23","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T18:31:36Z","timestamp":1787769096000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aca.aca_132_23"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4]]},"references-count":9,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.4103\/aca.aca_132_23","relation":{},"ISSN":["0971-9784","0974-5181"],"issn-type":[{"value":"0971-9784","type":"print"},{"value":"0974-5181","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,4]]},"assertion":[{"value":"2023-08-25","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-11-03","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}