Evidence map›Paper›PMID 42446458›Full record

ArticleJACC. Case reports2026

Multilevel Surgical Repair of Iatrogenic Aortocoronary Dissection: A Lifesaving Strategy.

Étienne Fasolt Richard Corvin Meinert, Rawa Arif, Matthias Karck, Bashar Dib

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.

0numbers the graph read from it
0cells of the map it votes in
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

Who cites it

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

4 authors.

Étienne Fasolt Richard Corvin MeinertDepartment of Cardiac Surgery, Heidelberg University Hospital, Heidelberg, Germany. Electronic address: fasolt.meinert@med.uni-heidelberg.de.
Rawa ArifDepartment of Cardiac Surgery, Heidelberg University Hospital, Heidelberg, Germany.
Matthias KarckDepartment of Cardiac Surgery, Heidelberg University Hospital, Heidelberg, Germany.
Bashar DibDepartment of Cardiac Surgery, Heidelberg University Hospital, Heidelberg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIatrogenic aortocoronary dissection emerges from the coronary arteries and represents a catastrophic complication of coronary intervention. CASE SUMMARY: A patient undergoing percutaneous coronary intervention for ST-segment elevation myocardial infarction developed an extensive iatrogenic aortocoronary dissection complicated by cerebral malperfusion. He underwent complex surgery, including David's procedure, total arch replacement with frozen elephant trunk, coronary artery bypass grafting, and extra-anatomical carotid artery bypass. Despite a prolonged postoperative course, the patient achieved complete neurological and functional recovery and remains in excellent clinical condition 2 years postoperatively. DISCUSSION: Although iatrogenic aortocoronary dissection carries high morbidity and mortality, appropriately tailored surgical strategies can result in favorable long-term outcomes, even in extensive dissections complicated by malperfusion syndrome. TAKE-HOME MESSAGE: This case underscores aggressive surgical management in complex aortic dissections and the importance of close cardiology-surgery collaboration for severe procedural complications.

Indexed as

aortocoronary dissectioncarotid artery bypasscerebral malperfusionfrozen elephant trunkiatrogenic aortic dissection

Identifiers

PMID42446458
PMCPMC13531195

What OpenQuestion holds

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Registered trials

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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.