{"id":"https://openalex.org/W2076129072","doi":"https://doi.org/10.1097/00000658-198806000-00009","title":"Surgical Treatment of Acute Traumatic Tear of the Thoracic Aorta","display_name":"Surgical Treatment of Acute Traumatic Tear of the Thoracic Aorta","publication_year":1988,"publication_date":"1988-06-01","ids":{"openalex":"https://openalex.org/W2076129072","doi":"https://doi.org/10.1097/00000658-198806000-00009","mag":"2076129072","pmid":"https://pubmed.ncbi.nlm.nih.gov/3389938","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/1493532"},"language":"en","primary_location":{"id":"doi:10.1097/00000658-198806000-00009","doi":"https://doi.org/10.1097/00000658-198806000-00009","is_oa":false,"landing_page_url":"https://doi.org/10.1097/00000658-198806000-00009","pdf_url":null,"source":{"id":"https://openalex.org/S157664895","display_name":"Annals of Surgery","issn_l":"0003-4932","issn":["0003-4932","1528-1140"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Annals of Surgery","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/1493532","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5112087939","display_name":"Walter H. Merrill","orcid":"https://orcid.org/0000-0001-7282-586X","observed_orcids":["https://orcid.org/0000-0001-7282-586X"]},"institutions":[{"id":"https://openalex.org/I200719446","display_name":"Vanderbilt University","ror":"https://ror.org/02vm5rt34","country_code":"US","type":"education","lineage":["https://openalex.org/I200719446"]},{"id":"https://openalex.org/I901861585","display_name":"Vanderbilt University Medical Center","ror":"https://ror.org/05dq2gs74","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210162197","https://openalex.org/I901861585"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"WALTER H. MERRILL","raw_affiliation_strings":["Department of Cardiac and Thoracic Surgery, Vanderbilt University School of Medicine, Nashville, Tennessee","the Department of Cardiac and Thoracic Surgery, Vanderbilt University School of Medicine, Nashville, Tennessee"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiac and Thoracic Surgery, Vanderbilt University School of Medicine, Nashville, Tennessee","institution_ids":["https://openalex.org/I200719446","https://openalex.org/I901861585"]},{"raw_affiliation_string":"the Department of Cardiac and Thoracic Surgery, Vanderbilt University School of Medicine, Nashville, Tennessee","institution_ids":["https://openalex.org/I200719446"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5053986376","display_name":"Robert B. Lee","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I200719446","display_name":"Vanderbilt University","ror":"https://ror.org/02vm5rt34","country_code":"US","type":"education","lineage":["https://openalex.org/I200719446"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"ROBERT B. LEE","raw_affiliation_strings":["the Department of Cardiac and Thoracic Surgery, Vanderbilt University School of Medicine, Nashville, Tennessee"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"the Department of Cardiac and Thoracic Surgery, Vanderbilt University School of Medicine, Nashville, Tennessee","institution_ids":["https://openalex.org/I200719446"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5017000834","display_name":"John W. Hammon","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I200719446","display_name":"Vanderbilt University","ror":"https://ror.org/02vm5rt34","country_code":"US","type":"education","lineage":["https://openalex.org/I200719446"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"JOHN W. HAMMON","raw_affiliation_strings":["the Department of Cardiac and Thoracic Surgery, Vanderbilt University School of Medicine, Nashville, Tennessee"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"the Department of Cardiac and Thoracic Surgery, Vanderbilt University School of Medicine, Nashville, Tennessee","institution_ids":["https://openalex.org/I200719446"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5077902361","display_name":"William H. Frist","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I200719446","display_name":"Vanderbilt University","ror":"https://ror.org/02vm5rt34","country_code":"US","type":"education","lineage":["https://openalex.org/I200719446"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"WILLIAM H. FRIST","raw_affiliation_strings":["the Department of Cardiac and Thoracic Surgery, Vanderbilt University School of Medicine, Nashville, Tennessee"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"the Department of Cardiac and Thoracic Surgery, Vanderbilt University School of Medicine, Nashville, Tennessee","institution_ids":["https://openalex.org/I200719446"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5102885654","display_name":"James R. Stewart","orcid":"https://orcid.org/0000-0003-1484-7301","observed_orcids":["https://orcid.org/0000-0003-1484-7301"]},"institutions":[{"id":"https://openalex.org/I200719446","display_name":"Vanderbilt University","ror":"https://ror.org/02vm5rt34","country_code":"US","type":"education","lineage":["https://openalex.org/I200719446"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"JAMES R. STEWART","raw_affiliation_strings":["the Department of Cardiac and Thoracic Surgery, Vanderbilt University School of Medicine, Nashville, Tennessee"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"the Department of Cardiac and Thoracic Surgery, Vanderbilt University School of Medicine, Nashville, Tennessee","institution_ids":["https://openalex.org/I200719446"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5108087284","display_name":"Harvey W. Bender","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I200719446","display_name":"Vanderbilt University","ror":"https://ror.org/02vm5rt34","country_code":"US","type":"education","lineage":["https://openalex.org/I200719446"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"HARVEY W. BENDER","raw_affiliation_strings":["the Department of Cardiac and Thoracic Surgery, Vanderbilt University School of Medicine, Nashville, Tennessee"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"the Department of Cardiac and Thoracic Surgery, Vanderbilt University School of Medicine, Nashville, Tennessee","institution_ids":["https://openalex.org/I200719446"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":5.0477,"has_fulltext":false,"cited_by_count":68,"citation_normalized_percentile":{"value":0.94923638,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":89,"max":98},"biblio":{"volume":"207","issue":"6","first_page":"699","last_page":"706"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10618","display_name":"Aortic Disease and Treatment Approaches","score":0.6610999703407288,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10618","display_name":"Aortic Disease and Treatment Approaches","score":0.6610999703407288,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11951","display_name":"Trauma Management and Diagnosis","score":0.28049999475479126,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11554","display_name":"Vascular Procedures and Complications","score":0.014999999664723873,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/traumatic-aortic-rupture","display_name":"traumatic aortic rupture","score":0.7789999842643738},{"id":"https://openalex.org/keywords/thoracic-aorta","display_name":"thoracic aorta","score":0.9739999771118164},{"id":"https://openalex.org/keywords/aortic-repair","display_name":"aortic reconstruction","score":0.6710000038146973},{"id":"https://openalex.org/keywords/spinal-cord-injury","display_name":"spinal cord injury","score":0.7200000286102295},{"id":"https://openalex.org/keywords/paraparesis","display_name":"paraparesis","score":0.8330000042915344},{"id":"https://openalex.org/keywords/cardiopulmonary-bypass","display_name":"cardiopulmonary bypass","score":0.9399999976158142},{"id":"https://openalex.org/keywords/exsanguination","display_name":"exsanguination","score":0.800000011920929},{"id":"https://openalex.org/keywords/emergency-thoracotomy","display_name":"emergency thoracotomy","score":0.8289999961853027},{"id":"https://openalex.org/keywords/mortality","display_name":"mortality","score":0.44699999690055847},{"id":"https://openalex.org/keywords/distal-aortic-perfusion","display_name":"distal aortic perfusion","score":0.7889999747276306}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9878259301185608},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.7636216878890991},{"id":"https://openalex.org/C2777597760","wikidata":"https://www.wikidata.org/wiki/Q1049655","display_name":"Paraplegia","level":3,"score":0.6993346214294434},{"id":"https://openalex.org/C2776864027","wikidata":"https://www.wikidata.org/wiki/Q615993","display_name":"Thoracic aorta","level":3,"score":0.5748129487037659},{"id":"https://openalex.org/C2778881276","wikidata":"https://www.wikidata.org/wiki/Q552304","display_name":"Cardiopulmonary bypass","level":2,"score":0.5059220194816589},{"id":"https://openalex.org/C2778847313","wikidata":"https://www.wikidata.org/wiki/Q1340337","display_name":"Thoracotomy","level":2,"score":0.49808287620544434},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.4602161645889282},{"id":"https://openalex.org/C2778334475","wikidata":"https://www.wikidata.org/wiki/Q1415275","display_name":"Spinal cord injury","level":3,"score":0.4530269503593445},{"id":"https://openalex.org/C2779980429","wikidata":"https://www.wikidata.org/wiki/Q101004","display_name":"Aorta","level":2,"score":0.4264100193977356},{"id":"https://openalex.org/C2780775167","wikidata":"https://www.wikidata.org/wiki/Q9606","display_name":"Spinal cord","level":2,"score":0.41759106516838074},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000293","descriptor_name":"Adolescent","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001013","descriptor_name":"Aorta, Thoracic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001019","descriptor_name":"Aortic Rupture","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":false},{"descriptor_ui":"D001019","descriptor_name":"Aortic Rupture","qualifier_ui":"Q000401","qualifier_name":"mortality","is_major_topic":false},{"descriptor_ui":"D001019","descriptor_name":"Aortic Rupture","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D001027","descriptor_name":"Aortography","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001807","descriptor_name":"Blood Vessel Prosthesis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002648","descriptor_name":"Child","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008722","descriptor_name":"Methods","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013119","descriptor_name":"Spinal Cord Injuries","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":false},{"descriptor_ui":"D013898","descriptor_name":"Thoracic Injuries","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":false},{"descriptor_ui":"D014949","descriptor_name":"Wounds, Nonpenetrating","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":false}],"locations_count":3,"locations":[{"id":"doi:10.1097/00000658-198806000-00009","doi":"https://doi.org/10.1097/00000658-198806000-00009","is_oa":false,"landing_page_url":"https://doi.org/10.1097/00000658-198806000-00009","pdf_url":null,"source":{"id":"https://openalex.org/S157664895","display_name":"Annals of Surgery","issn_l":"0003-4932","issn":["0003-4932","1528-1140"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Annals of Surgery","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:1493532","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/1493532","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Ann Surg","raw_type":"Text"},{"id":"pmid:3389938","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/3389938","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Annals of surgery","raw_type":"Journal Article"}],"best_oa_location":{"id":"pmh:oai:pubmedcentral.nih.gov:1493532","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/1493532","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Ann Surg","raw_type":"Text"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":1.0}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":33,"referenced_works":["https://openalex.org/W15853479","https://openalex.org/W110788819","https://openalex.org/W1970267594","https://openalex.org/W1979388394","https://openalex.org/W1981110555","https://openalex.org/W1982723879","https://openalex.org/W1986742717","https://openalex.org/W1995779748","https://openalex.org/W2005991288","https://openalex.org/W2009657209","https://openalex.org/W2020535648","https://openalex.org/W2025801774","https://openalex.org/W2028236460","https://openalex.org/W2032033946","https://openalex.org/W2037342260","https://openalex.org/W2060003909","https://openalex.org/W2060585411","https://openalex.org/W2069897908","https://openalex.org/W2071571640","https://openalex.org/W2072660942","https://openalex.org/W2091042400","https://openalex.org/W2144144952","https://openalex.org/W2150146729","https://openalex.org/W2150878225","https://openalex.org/W2182419005","https://openalex.org/W2257740677","https://openalex.org/W2296316225","https://openalex.org/W2397174565","https://openalex.org/W2400163184","https://openalex.org/W2405575953","https://openalex.org/W2412529047","https://openalex.org/W2413015085","https://openalex.org/W4251710547"],"related_works":["https://openalex.org/W2065477945","https://openalex.org/W2140498926","https://openalex.org/W2095547439","https://openalex.org/W2254225579","https://openalex.org/W2148338653","https://openalex.org/W2406050460","https://openalex.org/W2080774309","https://openalex.org/W2064594436","https://openalex.org/W2155725099","https://openalex.org/W2182419005"],"abstract_inverted_index":{"Acute":[0],"traumatic":[1,47,100],"tear":[2,48,102],"of":[3,49,60,69,80,99,106,155,187,195],"the":[4,34,50,55,61,66,78,104,107,115,147,185,193],"thoracic":[5,51],"aorta":[6,52],"is":[7,199],"a":[8,12,123],"severe":[9],"injury":[10,71,158,198],"with":[11,72,114,134,184],"high":[13],"mortality":[14,75],"rate.":[15],"This":[16],"condition":[17],"requires":[18],"expeditious":[19,169],"evaluation":[20],"and":[21,53,77,117,127,171],"prompt":[22],"surgical":[23,67],"intervention":[24],"in":[25,103],"order":[26],"to":[27,39,64,74,146,180],"improve":[28],"patient":[29,162],"survival.":[30],"The":[31,58],"experience":[32],"at":[33],"authors'":[35],"institution":[36],"from":[37,87,177],"1971":[38],"1987":[40],"includes":[41],"41":[42],"patients":[43,85,96,110,121,129,151,175],"who":[44],"sustained":[45],"acute":[46],"reached":[54],"hospital":[56],"alive.":[57],"purpose":[59],"study":[62],"was":[63],"evaluate":[65],"management":[68],"this":[70],"regards":[73],"rate":[76],"incidence":[79],"spinal":[81,156,196],"cord":[82,157,197],"injury.":[83],"Five":[84],"died":[86],"exsanguination":[88,178],"before":[89],"definitive":[90,181],"repair":[91,98,133],"could":[92],"be":[93],"undertaken.":[94],"Thirty-six":[95],"had":[97,122,163],"aortic":[101,189],"area":[105],"isthmus.":[108],"Nine":[109],"were":[111,130,138,143],"operated":[112],"upon":[113],"clamp":[116],"sew":[118],"technique,":[119],"20":[120],"heparin-bonded":[124],"shunt":[125],"placed,":[126],"seven":[128],"treated":[131],"by":[132],"cardiopulmonary":[135],"bypass.":[136],"There":[137],"five":[139],"operative":[140],"deaths":[141],"that":[142],"not":[144,200],"related":[145],"technique":[148],"employed.":[149],"Two":[150],"without":[152],"preoperative":[153],"evidence":[154],"developed":[159],"paraparesis.":[160],"No":[161],"postoperative":[164],"paraplegia.":[165],"Despite":[166],"rapid":[167],"transport,":[168],"evaluation,":[170],"emergency":[172],"thoracotomy,":[173],"some":[174],"die":[176],"prior":[179],"repair.":[182],"Even":[183],"provision":[186],"distal":[188],"perfusion":[190],"during":[191],"clamping,":[192],"risk":[194],"eliminated.":[201]},"counts_by_year":[{"year":2025,"cited_by_count":1},{"year":2024,"cited_by_count":1},{"year":2023,"cited_by_count":1},{"year":2021,"cited_by_count":3},{"year":2019,"cited_by_count":1},{"year":2017,"cited_by_count":1},{"year":2015,"cited_by_count":4},{"year":2014,"cited_by_count":1},{"year":2012,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}