ArticleJACC. Case reports2026
Pyramidal Angulation of the Ascending Aortic Graft: Recurrent Emboli After Type A Repair.
Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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.
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.
Who cites it
1 citing paper in PubMed.
- Redo Aortic Surgery for Angulated Grafts: How Far Should We Go?JACC. Case reports · 2026Article
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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWe report a unique case of recurrent cerebrovascular events under adequate anticoagulation, in the absence of a visible thrombus, due to a severely kinked ascending aortic graft after type A dissection repair. CASE SUMMARY: A 70-year-old man developed 4 transient ischemic attacks and 3 ischemic strokes over 4 years despite therapeutic rivaroxaban levels and prior antiplatelet therapy. Imaging revealed a kinked ascending graft without thrombus. High-risk redo surgery was pursued to correct graft geometry, after which no further embolic events occurred during early follow-up (5 months). DISCUSSION: This case addresses the clinical dilemma whether a visible thrombus is required to justify redo surgery after type A repair, especially when recurrent embolism occurs under maximal medical therapy. TAKE-HOME MESSAGE: Surgical correction of graft kinking may be indicated-even in the absence of a thrombus-when embolic risk persists under optimal anticoagulation.
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