Type A Aortic Dissection After Extra-Anatomic Coarctation Repair.

Xander Jacquemyn, Ibrahim Sultan, Edward C Tobin, Tomaz Mesar, Derek Serna-Gallegos

Abstract readCase Reports

In one paragraph

Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing 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

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3 · Its place in the literature

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0 citing papers in PubMed.

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4 · The record

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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

5 authors.

Xander JacquemynDivision of Cardiac Surgery, Department of Cardiothoracic Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania, USA; Heart and Vascular Institute, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.

Ibrahim SultanDivision of Cardiac Surgery, Department of Cardiothoracic Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania, USA; Heart and Vascular Institute, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.

Edward C TobinDivision of Cardiac Surgery, Department of Cardiothoracic Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania, USA; Heart and Vascular Institute, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.

Tomaz MesarDivision of Cardiac Surgery, Department of Cardiothoracic Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania, USA; Heart and Vascular Institute, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.

Derek Serna-GallegosDivision of Cardiac Surgery, Department of Cardiothoracic Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania, USA; Heart and Vascular Institute, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA. Electronic address: sernagallegosdr@upmc.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundType A aortic dissection (TAAD) after prior extra-anatomic coarctation repair is rare and may pose technical challenges for aortic reconstruction. CASE SUMMARY: A 32-year-old asymptomatic man, 13 years after extra-anatomic ascending-to-descending aortic bypass for coarctation associated with a bicuspid aortic valve, was found on surveillance imaging to have a chronic TAAD with a 7-cm aortic root and ascending aortic aneurysm. He underwent redo median sternotomy with mechanical aortic root replacement, zone 2 total arch reconstruction, and reimplantation of the existing bypass graft. Postoperative recovery was uneventful, and follow-up imaging confirmed graft patency and successful repair. DISCUSSION: This case highlights the feasibility of complex aortic root and arch reconstruction while preserving prior extra-anatomic surgical grafts in the setting of TAAD. TAKE-HOME MESSAGES: TAAD can occur years after extra-anatomic coarctation repair. Advanced reconstruction techniques, including arch-first debranching and extra-anatomic bypass preservation, can achieve favorable outcomes in complex reoperative scenarios.

Indexed as

acute type A aortic dissectionaortic surgerybicuspid aortic valvecoarctation of the aortareoperative sternotomy

Identifiers

PMID41609260

DOI10.1016/j.jaccas.2025.106653

PMCPMC12882666

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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.