ArticleJACC. Case reports2026
Aortoplasty and Stent Implantation for the Dacron-Jotec Junction Stenosis: First-in-Human Case Report.
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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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.
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6 authors.
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Abstract
backgroundEndovascular aortic repair using hybrid prostheses, such as the Jotec E-vita Open Neo prosthesis, is essential for aortic arch pathology. Anastomotic stenosis following this procedure is a rare complication that requires specialized management. CASE SUMMARY: A 42-year-old man presented with symptomatic severe stenosis between the Dacron graft and the E-vita Open Neo prosthesis after Frozen Elephant Trunk repair. Management included balloon aortoplasty followed by implantation of a 45-mm NuMED CP stent using the balloon-assisted tracking technique. The peak-to-peak gradient was reduced from 85 to 8.5 mm Hg. The patient was discharged 5 days later without complications. DISCUSSION: The balloon-expandable CP stent provided effective luminal re-expansion and durable hemodynamic improvement, demonstrating its value as a mechanical solution for complex postsurgical anastomotic stenosis. TAKE-HOME MESSAGES: Aortoplasty with implantation of a noncovered mechanical stent is a feasible and effective endovascular option to treat complex anastomotic stenosis at the Dacron-Jotec junction after hybrid aortic arch repair.
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