Surgical Management of Type A Aortic Intramural Hematoma With Cerebral Malperfusion: Carotid Revascularization and Arch Replacement.

Susana Fortich, Jose I Ortiz De Elguea-Lizarraga, Junji Tsukagoshi, Mitchell W Cox, Andre Y Son, Abe DeAnda

Abstract readCase Reports

In one paragraph

Article in Annals of thoracic surgery short reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it

0cells of the map it votes in

1citing papers in PubMed

–field-weighted citation impact

1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

Outcome After Surgery for Type A Intramural Hematoma.Journal of cardiovascular development and disease · 2026
Article

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Susana FortichDepartment of Surgery, University of Texas Medical Branch, Galveston, Texas.

Jose I Ortiz De Elguea-LizarragaDivision of Vascular Surgery, Department of Surgery, University of Texas Medical Branch, Galveston, Texas.

Junji TsukagoshiDivision of Vascular Surgery, Department of Surgery, University of Texas Medical Branch, Galveston, Texas.

Mitchell W CoxDivision of Vascular Surgery, Department of Surgery, University of Texas Medical Branch, Galveston, Texas.

Andre Y SonDivision of Cardiovascular and Thoracic Surgery, Department of Surgery, University of Texas Medical Branch, Galveston, Texas.

Abe DeAndaDivision of Cardiovascular and Thoracic Surgery, Department of Surgery, University of Texas Medical Branch, Galveston, Texas.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute type A aortic dissection (ATAAD) with cerebral malperfusion presents a significant surgical challenge. This report describes a novel approach involving initial right carotid artery repair with interposition grafting and selective cerebral perfusion, followed by total aortic arch replacement using deep hypothermic circulatory arrest. This strategy optimized cerebral perfusion and facilitated successful aortic repair. The patient experienced partial neurologic recovery despite an initial ischemic stroke with hemorrhagic conversion. This case highlights the importance of a tailored, multidisciplinary approach in patients with complex ATAAD.

Identifiers

PMID41425378

DOI10.1016/j.atssr.2025.04.012

PMCPMC12712135

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LicenceCC BY-NC-ND

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.