{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:24:45Z","timestamp":1787840685820,"version":"build-2784847793"},"reference-count":5,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T00:00:00Z","timestamp":1740787200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:p>We present a case of a 4-year-old boy with posttraumatic non-A non-B aortic dissection. Pediatric aortic dissection is a rare entity with ill-defined risk factors. A high index of suspicion is needed to identify these patients with aggressive management to offset a high mortality rate. Diagnosis was established with a computed tomography scan, which showed a dissection flap in the aortic arch. The child was taken up for surgery and underwent successful aortic arch replacement with arch vessel reimplantation. We report this case not only because of its incidental rarity but also to highlight the meticulous planning and execution that was essential for a successful outcome.<\/jats:p>","DOI":"10.4103\/apc.apc_229_24","type":"journal-article","created":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T18:00:27Z","timestamp":1756490427000},"page":"155-157","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Arch replacement in a 4-year-old child with traumatic aortic dissection \u2013 An unseen reality"],"prefix":"10.4103","volume":"18","author":[{"given":"Mayank","family":"Yadav","sequence":"first","affiliation":[{"name":"Department of Cardiothoracic and Vascular Sciences, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abhinav","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic and Vascular Sciences, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anjali","family":"Tiwari","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic and Vascular Sciences, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nita","family":"Bharti","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic and Vascular Sciences, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,8,29]]},"reference":[{"key":"R1-20260420","first-page":"137","article-title":"Aortic dissection in adolescence","volume":"34","author":"Cooper","year":"1986","journal-title":"Am Fam Physician"},{"key":"R2-20260420","doi-asserted-by":"crossref","first-page":"E23","DOI":"10.1002\/clc.20383","article-title":"Aortic dissection in childhood and adolescence: An analysis of occurrences over a 10-year interval in New York State","volume":"32","author":"Fikar","year":"2009","journal-title":"Clin Cardiol"},{"key":"R3-20260420","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1177\/000992280003900201","article-title":"Etiologic factors of acute aortic dissection in children and young adults","volume":"39","author":"Fikar","year":"2000","journal-title":"Clin Pediatr (Phila)"},{"key":"R4-20260420","doi-asserted-by":"crossref","first-page":"S58","DOI":"10.5152\/eurjrheum.2019.19195","article-title":"Childhood-onset Takayasu arteritis","volume":"7","author":"Aeschlimann","year":"2020","journal-title":"Eur J Rheumatol"},{"key":"R5-20260420","doi-asserted-by":"crossref","first-page":"1138","DOI":"10.1016\/j.jvs.2006.01.033","article-title":"Surgery of the abdominal aorta and its branches in children: Late follow-up","volume":"43","author":"Barral","year":"2006","journal-title":"J Vasc Surg"}],"container-title":["Annals of Pediatric Cardiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/apc.apc_229_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:27:05Z","timestamp":1787837225000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/apc.apc_229_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3]]},"references-count":5,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/apc.apc_229_24","relation":{},"ISSN":["0974-2069","0974-5149"],"issn-type":[{"value":"0974-2069","type":"print"},{"value":"0974-5149","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,3]]},"assertion":[{"value":"2024-11-25","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-06-10","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}