Complex hybrid management of severe aortic stenosis and aortic arch disease in a nonagenarian: a case report.

Mirko Muretti, Maria Antonella Ruffino, Giovanni Pedrazzini, Stefanos Demertzis, Enrico Ferrari

Abstract readCase Reports

In one paragraph

Article in European heart journal. 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

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

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0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Mirko MurettiCardiac Surgery Unit, Cardiocentro Ticino Institute, EOC, Via Tesserete 48, 6900 Lugano, Switzerland.ORCID https://orcid.org/0000-0002-0483-7372

Maria Antonella RuffinoRadiology Department, Canton of Ticino, Cantonal Hospital Group, Via Tesserete 46, 6900 Lugano, Switzerland.ORCID https://orcid.org/0000-0002-4357-2821

Giovanni PedrazziniCardiology Unit, Cardiocentro Ticino Institute, EOC, Via Tesserete 48, 6900 Lugano, Switzerland.ORCID https://orcid.org/0000-0002-6513-3985

Stefanos DemertzisCardiac Surgery Unit, Cardiocentro Ticino Institute, EOC, Via Tesserete 48, 6900 Lugano, Switzerland.ORCID https://orcid.org/0000-0002-3796-1775

Enrico FerrariCardiac Surgery Unit, Cardiocentro Ticino Institute, EOC, Via Tesserete 48, 6900 Lugano, Switzerland.ORCID https://orcid.org/0000-0002-8303-8404

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Nonagenarians represent a cohort of patients at high or prohibitive risk in case of complex aortic procedures. A hybrid approach could reduce the surgical risk compared with a conventional surgery when performed at the age of 90. Case summary: We reported the case of a 90-year-old man who presented with a progressive aortic arch dilatation due to a persistent type-1A endoleak following previous thoracic endovascular aortic repair due to type-B aortic dissection. The aortic computed tomography scan confirmed a 65 × 67 mm aortic arch dilatation due to a type-1A endoleak and a transthoracic echocardiogram showed a severe aortic valve stenosis. On full sternotomy and partial cardiopulmonary bypass assistance, the patient underwent transcatheter aortic valve replacement combined with surgical brachiocephalic trunk and left common carotid artery debranching and thoracic endovascular aortic repair of the aortic arch. The postoperative course was uneventful and the patient was discharged home at postoperative day 15. Discussion: The described hybrid procedure lessened the prohibitive risks that could have been related to a conventional open aortic arch surgery in nonagenarians.

Indexed as

Aortic arch debranchingAortic valve stenosisCase reportCombined procedureTAVRTEVARThoracic aortic aneurysmThoracic endovascular aortic repairTranscatheter aortic valve replacement

Identifiers

PMID41883599

DOI10.1093/ehjcr/ytag161

PMCPMC13011996

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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.