{"id":"https://openalex.org/W7220868823","doi":"https://doi.org/10.1016/j.jaccas.2026.110322","title":"Total Thoracic Aortic \u201cPericardialization\u201d for Multilevel Prosthetic Graft Infection","display_name":"Total Thoracic Aortic \u201cPericardialization\u201d for Multilevel Prosthetic Graft Infection","publication_year":2026,"publication_date":"2026-10-01","ids":{"openalex":"https://openalex.org/W7220868823","doi":"https://doi.org/10.1016/j.jaccas.2026.110322","pmid":"https://pubmed.ncbi.nlm.nih.gov/42847578","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13669872"},"language":"en","primary_location":{"id":"doi:10.1016/j.jaccas.2026.110322","doi":"https://doi.org/10.1016/j.jaccas.2026.110322","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.jaccas.2026.110322","pdf_url":null,"source":{"id":"https://openalex.org/S4210180918","display_name":"JACC Case Reports","issn_l":"2666-0849","issn":["2666-0849"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","poland-20"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JACC: Case Reports","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1016/j.jaccas.2026.110322","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5055628594","display_name":"Miralem Pa\u0161i\u0107","orcid":"https://orcid.org/0000-0003-3990-5141","observed_orcids":["https://orcid.org/0000-0003-3990-5141"]},"institutions":[{"id":"https://openalex.org/I1316902750","display_name":"Cleveland Clinic","ror":"https://ror.org/03xjacd83","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1316902750"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Miralem Pasic","raw_affiliation_strings":["Department of Thoracic & Cardiovascular Surgery, Cleveland Clinic, Cleveland, Ohio, USA. Electronic address: PASICM@ccf.org"],"raw_orcid":"https://orcid.org/0000-0003-3990-5141","affiliations":[{"raw_affiliation_string":"Department of Thoracic & Cardiovascular Surgery, Cleveland Clinic, Cleveland, Ohio, USA. Electronic address: PASICM@ccf.org","institution_ids":["https://openalex.org/I1316902750"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5022852271","display_name":"Sanjay Chaubey","orcid":"https://orcid.org/0009-0002-7355-164X","observed_orcids":["https://orcid.org/0009-0002-7355-164X"]},"institutions":[{"id":"https://openalex.org/I1316902750","display_name":"Cleveland Clinic","ror":"https://ror.org/03xjacd83","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1316902750"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Sanjay Chaubey","raw_affiliation_strings":["Department of Thoracic & Cardiovascular Surgery, Cleveland Clinic, Cleveland, Ohio, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Thoracic & Cardiovascular Surgery, Cleveland Clinic, Cleveland, Ohio, USA","institution_ids":["https://openalex.org/I1316902750"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5157841568","display_name":"Kang An","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1316902750","display_name":"Cleveland Clinic","ror":"https://ror.org/03xjacd83","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1316902750"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kang An","raw_affiliation_strings":["Department of Thoracic & Cardiovascular Surgery, Cleveland Clinic, Cleveland, Ohio, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Thoracic & Cardiovascular Surgery, Cleveland Clinic, Cleveland, Ohio, USA","institution_ids":["https://openalex.org/I1316902750"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5055628594"],"corresponding_institution_ids":["https://openalex.org/I1316902750"],"apc_list":{"value":850,"currency":"USD","value_usd":850},"apc_paid":{"value":850,"currency":"USD","value_usd":850},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.78173729,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"31","issue":"40","first_page":"110322","last_page":"110322"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12453","display_name":"Infectious Aortic and Vascular Conditions","score":1.0,"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"}},"topics":[{"id":"https://openalex.org/T12453","display_name":"Infectious Aortic and Vascular Conditions","score":1.0,"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/T10618","display_name":"Aortic Disease and Treatment Approaches","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular 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/T13657","display_name":"Aortic Thrombus and Embolism","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular 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/prosthetic-aortic-graft-infection","display_name":"prosthetic aortic graft infection","score":0.8889999985694885},{"id":"https://openalex.org/keywords/frozen-elephant-trunk","display_name":"frozen elephant trunk","score":0.781000018119812},{"id":"https://openalex.org/keywords/radical-debridement","display_name":"radical debridement","score":0.7519999742507935},{"id":"https://openalex.org/keywords/septic-emboli","display_name":"septic emboli","score":0.7039999961853027},{"id":"https://openalex.org/keywords/intracranial-hemorrhage","display_name":"intracranial hemorrhage","score":0.9649999737739563},{"id":"https://openalex.org/keywords/thoracic-aorta","display_name":"thoracic aorta","score":0.6940000057220459}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8521999716758728},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.6797000169754028},{"id":"https://openalex.org/C2777323849","wikidata":"https://www.wikidata.org/wiki/Q616003","display_name":"Aortic aneurysm","level":3,"score":0.3181999921798706},{"id":"https://openalex.org/C2778715743","wikidata":"https://www.wikidata.org/wiki/Q181802","display_name":"Prosthesis","level":2,"score":0.31529998779296875},{"id":"https://openalex.org/C81182388","wikidata":"https://www.wikidata.org/wiki/Q353963","display_name":"Complication","level":2,"score":0.2840999960899353},{"id":"https://openalex.org/C2994150672","wikidata":"https://www.wikidata.org/wiki/Q17143044","display_name":"Aortic repair","level":3,"score":0.26759999990463257},{"id":"https://openalex.org/C2781101105","wikidata":"https://www.wikidata.org/wiki/Q1581845","display_name":"Mediastinitis","level":2,"score":0.26019999384880066},{"id":"https://openalex.org/C2779980429","wikidata":"https://www.wikidata.org/wiki/Q101004","display_name":"Aorta","level":2,"score":0.25780001282691956},{"id":"https://openalex.org/C2776864027","wikidata":"https://www.wikidata.org/wiki/Q615993","display_name":"Thoracic aorta","level":3,"score":0.2502000033855438},{"id":"https://openalex.org/C2780714102","wikidata":"https://www.wikidata.org/wiki/Q616071","display_name":"Aortic valve","level":2,"score":0.2395000010728836}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.1016/j.jaccas.2026.110322","doi":"https://doi.org/10.1016/j.jaccas.2026.110322","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.jaccas.2026.110322","pdf_url":null,"source":{"id":"https://openalex.org/S4210180918","display_name":"JACC Case Reports","issn_l":"2666-0849","issn":["2666-0849"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","poland-20"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JACC: Case Reports","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13669872","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13669872/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13669872/pdf/main.pdf","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":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JACC Case Rep","raw_type":"Text"},{"id":"pmid:42847578","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42847578","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":"JACC. Case reports","raw_type":"Case Reports"},{"id":"pmh:oai:doaj.org/article:01202930fe724ca4898436644c60e2a2","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/01202930fe724ca4898436644c60e2a2","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"JACC: Case Reports, Vol 31, Iss 40, Pp 110322- (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1016/j.jaccas.2026.110322","doi":"https://doi.org/10.1016/j.jaccas.2026.110322","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.jaccas.2026.110322","pdf_url":null,"source":{"id":"https://openalex.org/S4210180918","display_name":"JACC Case Reports","issn_l":"2666-0849","issn":["2666-0849"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1","norway-1","poland-20"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JACC: Case Reports","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9537000060081482}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7220868823.pdf","grobid_xml":"https://content.openalex.org/works/W7220868823.grobid-xml"},"referenced_works_count":10,"referenced_works":["https://openalex.org/W1974571247","https://openalex.org/W2005024723","https://openalex.org/W2008767904","https://openalex.org/W2012161782","https://openalex.org/W4308150433","https://openalex.org/W4318755733","https://openalex.org/W4391428595","https://openalex.org/W4391656265","https://openalex.org/W4399250806","https://openalex.org/W7119910330"],"related_works":["https://openalex.org/W2551113183","https://openalex.org/W4318755733","https://openalex.org/W2145421336","https://openalex.org/W2150935625","https://openalex.org/W2977272829","https://openalex.org/W2012467412","https://openalex.org/W3000607374","https://openalex.org/W2797484193","https://openalex.org/W2961078011","https://openalex.org/W2975815279"],"abstract_inverted_index":{"BACKGROUND:":[0],"Prosthetic":[1],"aortic":[2,23,74,126],"infection":[3],"involving":[4],"composite":[5],"roots":[6],"and":[7,43,57,66,79,115,124],"frozen":[8,44],"elephant":[9,45,96],"trunk":[10,46,97],"components":[11],"presents":[12],"an":[13],"extraordinary":[14],"challenge":[15],"with":[16,35,49],"high":[17],"mortality.":[18],"We":[19],"present":[20],"a":[21,36,39,94,134],"complex":[22,143],"reconstruction":[24,127],"using":[25,85,128],"custom":[26],"bovine":[27,89,130],"pericardial":[28,90,131],"conduits.":[29],"CASE":[30],"SUMMARY:":[31],"A":[32],"55-year-old":[33],"man":[34],"history":[37],"of":[38,69,106],"redo":[40],"Bentall":[41],"procedure":[42],"implantation":[47],"presented":[48],"extensive":[50],"pan-aortic":[51],"prosthetic":[52],"infection,":[53],"systemic":[54],"septic":[55],"emboli,":[56],"acute":[58],"intracranial":[59],"hemorrhage.":[60],"Surgery":[61],"focused":[62],"on":[63,103,109],"radical":[64],"debridement":[65],"complete":[67],"extrication":[68],"all":[70],"synthetic":[71],"material.":[72],"The":[73,99],"root,":[75],"ascending":[76],"aorta,":[77],"arch,":[78],"supra-aortic":[80],"branches":[81],"were":[82],"entirely":[83],"reconstructed":[84],"4":[86],"intraoperatively":[87],"hand-fashioned":[88],"tube":[91],"grafts,":[92],"creating":[93],"classic":[95],"assembly.":[98],"patient":[100],"was":[101],"extubated":[102],"the":[104],"day":[105,110],"surgery,":[107],"discharged":[108],"7":[111],"without":[112],"neurologic":[113],"deficits,":[114],"remained":[116],"infection-free":[117],"at":[118],"3":[119],"months.":[120],"DISCUSSION:":[121],"Radical":[122],"excision":[123],"total":[125],"hand-made":[129],"grafts":[132],"provide":[133],"completely":[135],"biological,":[136],"infection-resistant":[137],"alternative":[138],"for":[139],"treating":[140],"these":[141],"highly":[142],"conditions.":[144]},"counts_by_year":[],"updated_date":"2026-11-08T12:12:28.789561","created_date":"2026-10-08T00:00:00"}
