{
  "abstract": "This report describes a single-admission, two-stage hybrid approach for chronic postdissection aneurysmal degeneration of the ascending aorta and aortic arch. Stage 1 consists of open ascending aortic replacement without deep hypothermic circulatory arrest. Stage 2 uses a three-inner-branch physician-modified endograft with novel features for total arch repair, relying on the surgical graft from stage 1 as the proximal landing zone. To minimize cardiac pulsatility-induced motion, atriocaval occlusion was used, alongside a repurposed thoracic branch endoprosthesis side branch for secure innominate artery sealing. This less invasive strategy simplifies arch reconstruction and broadens treatment options for high-risk patients with postdissection multisegment aneurysms.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Vascular Surgery, MedStar Washington Hospital Center-Georgetown University Hospital, Washington, DC.",
    "Department of Surgery, Georgetown University School of Medicine, Washington, DC.",
    "The Section of Vascular Surgery, Department of Surgical Sciences, Uppsala University, Uppsala, Sweden.",
    "Department of Cardiac Surgery, MedStar Washington Hospital Center, Washington, DC."
  ],
  "article_type": null,
  "arxiv": null,
  "author_total": 2,
  "authors": [
    {
      "affs": [
        0,
        1,
        2
      ],
      "name": "William J Yoon"
    },
    {
      "affs": [
        3
      ],
      "name": "Alexander P Nissen"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/eaf6qdywtg6r5.bib",
  "cited_by": 0,
  "doi": "10.1016/j.jvscit.2026.102527",
  "fulltext_url": "https://europepmc.org/articles/PMC13692160",
  "id": "eaf6qdywtg6r5",
  "issns": [
    "2468-4287"
  ],
  "landing_url": "https://europepmc.org/article/MED/42921229",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2740|Aortic Disease and Treatment Approaches"
    ]
  ],
  "openalex": "W7213745830",
  "pdf_url": "https://europepmc.org/articles/PMC13692160?pdf=render",
  "pmcid": "PMC13692160",
  "pmid": "42921229",
  "published": "2026-09-20",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/eaf6qdywtg6r5.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:21:02Z",
      "native_id": "MED:42921229",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42921229"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "journal-openalex:2746|Infectious Aortic and Vascular Conditions",
      "subfield": "surgery"
    }
  ],
  "title": "Staged open ascending aortic replacement and endovascular total arch repair using a three-inner-branch physician-modified endograft for chronic postdissection aneurysms.",
  "title_text": "Staged open ascending aortic replacement and endovascular total arch repair using a three-inner-branch physician-modified endograft for chronic postdissection aneurysms.",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:21:02Z",
  "url": "https://research.draconitic.com/paper/eaf6qdywtg6r5",
  "venue": "Journal of vascular surgery cases and innovative techniques",
  "versions": []
}