{"id":"https://openalex.org/W7225005350","doi":"https://doi.org/10.1186/s12872-026-06813-6","title":"Early aortic root remodeling after autologous adventitial inversion non-coronary sinus reconstruction for acute type a aortic dissection in a retrospective cohort study","display_name":"Early aortic root remodeling after autologous adventitial inversion non-coronary sinus reconstruction for acute type a aortic dissection in a retrospective cohort study","publication_year":2026,"publication_date":"2026-10-31","ids":{"openalex":"https://openalex.org/W7225005350","doi":"https://doi.org/10.1186/s12872-026-06813-6"},"language":"en","primary_location":{"id":"doi:10.1186/s12872-026-06813-6","doi":"https://doi.org/10.1186/s12872-026-06813-6","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12872-026-06813-6","pdf_url":null,"source":{"id":"https://openalex.org/S206686666","display_name":"BMC Cardiovascular Disorders","issn_l":"1471-2261","issn":["1471-2261"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-d","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Cardiovascular Disorders","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1186/s12872-026-06813-6","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5125625945","display_name":"Chao Song","orcid":"https://orcid.org/0009-0008-0651-9395","observed_orcids":["https://orcid.org/0009-0008-0651-9395"]},"institutions":[{"id":"https://openalex.org/I3018397418","display_name":"Yuhuangding Hospital","ror":"https://ror.org/05vawe413","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I3018397418"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Chao Song","raw_affiliation_strings":["Department of Cardiac Surgery, Yantai Yuhuangding Hospital, Yantai, 264000, China","The Second Clinical Medical School, Shandong Medical and Pharmaceutical University, Yantai, China"],"raw_orcid":"https://orcid.org/0009-0008-0651-9395","affiliations":[{"raw_affiliation_string":"Department of Cardiac Surgery, Yantai Yuhuangding Hospital, Yantai, 264000, China","institution_ids":["https://openalex.org/I3018397418"]},{"raw_affiliation_string":"The Second Clinical Medical School, Shandong Medical and Pharmaceutical University, Yantai, China","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160278469","display_name":"Shuo Tang","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Shuo Tang","raw_affiliation_strings":["The Second Clinical Medical School, Shandong Medical and Pharmaceutical University, Yantai, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The Second Clinical Medical School, Shandong Medical and Pharmaceutical University, Yantai, China","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5109797562","display_name":"Tu-Min Sha","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Tumin Sha","raw_affiliation_strings":["The Second Clinical Medical School, Shandong Medical and Pharmaceutical University, Yantai, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The Second Clinical Medical School, Shandong Medical and Pharmaceutical University, Yantai, China","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5158853284","display_name":"Xu Zhang","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I188329596","display_name":"University of Canberra","ror":"https://ror.org/04s1nv328","country_code":"AU","type":"education","lineage":["https://openalex.org/I188329596"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Xu Zhang","raw_affiliation_strings":["School of Nursing and Midwifery, Faculty of Health, University of Canberra, Canberra, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Nursing and Midwifery, Faculty of Health, University of Canberra, Canberra, Australia","institution_ids":["https://openalex.org/I188329596"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5158832652","display_name":"Jianqiang Li","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I3018397418","display_name":"Yuhuangding Hospital","ror":"https://ror.org/05vawe413","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I3018397418"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Jianqiang Li","raw_affiliation_strings":["Department of Cardiac Surgery, Yantai Yuhuangding Hospital, Yantai, 264000, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiac Surgery, Yantai Yuhuangding Hospital, Yantai, 264000, China","institution_ids":["https://openalex.org/I3018397418"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5114663830","display_name":"Chaoliang Liu","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I3018397418","display_name":"Yuhuangding Hospital","ror":"https://ror.org/05vawe413","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I3018397418"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Chaoliang Liu","raw_affiliation_strings":["Department of Cardiac Surgery, Yantai Yuhuangding Hospital, Yantai, 264000, China"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiac Surgery, Yantai Yuhuangding Hospital, Yantai, 264000, China","institution_ids":["https://openalex.org/I3018397418"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5114663830","https://openalex.org/A5158832652"],"corresponding_institution_ids":["https://openalex.org/I3018397418"],"apc_list":{"value":3090,"currency":"USD","value_usd":3090},"apc_paid":{"value":3090,"currency":"USD","value_usd":3090},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.8636148,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10618","display_name":"Aortic Disease and Treatment Approaches","score":1.0,"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":1.0,"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/T11310","display_name":"Connective tissue disorders research","score":0.0,"subfield":{"id":"https://openalex.org/subfields/1311","display_name":"Genetics"},"field":{"id":"https://openalex.org/fields/13","display_name":"Biochemistry, Genetics and Molecular Biology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},{"id":"https://openalex.org/T10983","display_name":"Aortic aneurysm repair treatments","score":0.0,"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/acute-type-a-aortic-dissection","display_name":"acute type A aortic dissection","score":0.9539999961853027},{"id":"https://openalex.org/keywords/aortic-root-reconstruction","display_name":"aortic root reconstruction","score":0.8930000066757202},{"id":"https://openalex.org/keywords/aortic-root-remodeling","display_name":"aortic root remodeling","score":0.9330000281333923},{"id":"https://openalex.org/keywords/aortic-regurgitation","display_name":"aortic regurgitation","score":0.9240000247955322},{"id":"https://openalex.org/keywords/perioperative-outcomes","display_name":"perioperative outcomes","score":0.8259999752044678},{"id":"https://openalex.org/keywords/aortic-flow-velocity","display_name":"aortic blood flow velocity","score":0.5339999794960022},{"id":"https://openalex.org/keywords/echocardiographic-measurement","display_name":"echocardiographic measurement","score":0.6259999871253967},{"id":"https://openalex.org/keywords/surgical-technique-comparison","display_name":"surgical technique comparison","score":0.5730000138282776},{"id":"https://openalex.org/keywords/paraplegia","display_name":"paraplegia","score":0.5920000076293945},{"id":"https://openalex.org/keywords/re-exploration","display_name":"re-exploration","score":0.8080000281333923}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9394999742507935},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.6909999847412109},{"id":"https://openalex.org/C31174226","wikidata":"https://www.wikidata.org/wiki/Q64855140","display_name":"Perioperative","level":2,"score":0.6855999827384949},{"id":"https://openalex.org/C2779993142","wikidata":"https://www.wikidata.org/wiki/Q594660","display_name":"Aortic dissection","level":3,"score":0.6421999931335449},{"id":"https://openalex.org/C555175668","wikidata":"https://www.wikidata.org/wiki/Q539690","display_name":"Angiology","level":2,"score":0.5464000105857849},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.5372999906539917},{"id":"https://openalex.org/C2776407911","wikidata":"https://www.wikidata.org/wiki/Q7525187","display_name":"Sinus (botany)","level":3,"score":0.49900001287460327},{"id":"https://openalex.org/C2779980429","wikidata":"https://www.wikidata.org/wiki/Q101004","display_name":"Aorta","level":2,"score":0.4571000039577484},{"id":"https://openalex.org/C2778789114","wikidata":"https://www.wikidata.org/wiki/Q235007","display_name":"Cardiac surgery","level":2,"score":0.4316999912261963},{"id":"https://openalex.org/C44249647","wikidata":"https://www.wikidata.org/wiki/Q208498","display_name":"Confidence interval","level":2,"score":0.41940000653266907},{"id":"https://openalex.org/C2780562891","wikidata":"https://www.wikidata.org/wiki/Q4115039","display_name":"Aortic sinus","level":3,"score":0.4165000021457672},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.41429999470710754},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.40630000829696655},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.40470001101493835},{"id":"https://openalex.org/C2993369777","wikidata":"https://www.wikidata.org/wiki/Q2349469","display_name":"Aortic root","level":3,"score":0.39259999990463257},{"id":"https://openalex.org/C2775862295","wikidata":"https://www.wikidata.org/wiki/Q2660911","display_name":"Dissection (medical)","level":2,"score":0.37610000371932983},{"id":"https://openalex.org/C2777323849","wikidata":"https://www.wikidata.org/wiki/Q616003","display_name":"Aortic aneurysm","level":3,"score":0.35670000314712524},{"id":"https://openalex.org/C201903717","wikidata":"https://www.wikidata.org/wiki/Q1778788","display_name":"Cohort study","level":2,"score":0.295199990272522},{"id":"https://openalex.org/C198433322","wikidata":"https://www.wikidata.org/wiki/Q3910099","display_name":"Predictive value of tests","level":2,"score":0.2745000123977661},{"id":"https://openalex.org/C2776098176","wikidata":"https://www.wikidata.org/wiki/Q189389","display_name":"Aneurysm","level":2,"score":0.271699994802475},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.2574999928474426}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1186/s12872-026-06813-6","doi":"https://doi.org/10.1186/s12872-026-06813-6","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12872-026-06813-6","pdf_url":null,"source":{"id":"https://openalex.org/S206686666","display_name":"BMC Cardiovascular Disorders","issn_l":"1471-2261","issn":["1471-2261"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-d","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Cardiovascular Disorders","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.1186/s12872-026-06813-6","doi":"https://doi.org/10.1186/s12872-026-06813-6","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12872-026-06813-6","pdf_url":null,"source":{"id":"https://openalex.org/S206686666","display_name":"BMC Cardiovascular Disorders","issn_l":"1471-2261","issn":["1471-2261"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","dongbi-d","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Cardiovascular Disorders","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.9922999739646912}],"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":0,"referenced_works":[],"related_works":["https://openalex.org/W4292560522","https://openalex.org/W2079584752","https://openalex.org/W2560906756","https://openalex.org/W7138976025","https://openalex.org/W3173583305","https://openalex.org/W3021824777","https://openalex.org/W3209907176","https://openalex.org/W2014521391","https://openalex.org/W2156566812","https://openalex.org/W2969415505"],"abstract_inverted_index":{"Optimal":[0],"management":[1],"of":[2,139,297],"the":[3,17,47,55,87,103,202],"aortic":[4,10,48,247],"root":[5,56,75],"in":[6,113,117,258],"acute":[7],"type":[8],"A":[9,160,237],"dissection":[11],"(ATAAD)":[12],"remains":[13],"controversial,":[14],"particularly":[15],"when":[16],"sinuses":[18],"are":[19],"involved.":[20],"We":[21],"evaluated":[22],"perioperative":[23],"outcomes":[24,107],"and":[25,90,185,245,290,302],"early":[26],"anatomical":[27,157,311],"remodeling":[28],"associated":[29,292],"with":[30,44,293],"Autologous":[31,61,282],"Adventitial":[32,62,283],"Inversion":[33,63,284],"Non-Coronary":[34,64,285],"Sinus":[35,65,286],"Reconstruction.":[36],"This":[37],"single-center":[38],"retrospective":[39,280],"cohort":[40],"included":[41],"41":[42],"patients":[43],"ATAAD":[45],"involving":[46],"root.":[49],"Patients":[50],"were":[51,84,94,108,129],"classified":[52],"according":[53],"to":[54,102,132,179,195,264],"reconstruction":[57,76],"recorded":[58],"at":[59,166,186,217,226,300],"surgery:":[60],"Reconstruction":[66,287],"(Group":[67,77],"A,":[68],"n":[69,79],"=":[70,80,149,183,199,211,222,235,267],"20)":[71],"or":[72,123,228,323],"heterogeneous":[73],"conventional":[74],"B,":[78],"21).":[81],"All":[82],"operations":[83],"performed":[85],"by":[86,96],"same":[88],"surgeon,":[89],"serial":[91],"echocardiographic":[92],"measurements":[93],"obtained":[95],"a":[97,162,251,294],"fixed":[98],"measurement":[99],"team":[100],"blinded":[101],"surgical":[104],"technique.":[105],"Perioperative":[106],"descriptively":[109],"similar;":[110],"no":[111],"patient":[112],"either":[114],"group":[115],"died":[116],"hospital,":[118],"required":[119],"re-exploration":[120],"for":[121,241],"bleeding,":[122],"developed":[124],"paraplegia,":[125],"but":[126,224],"event":[127],"counts":[128],"too":[130],"small":[131,279],"establish":[133,315],"comparative":[134],"safety.":[135],"Early":[136],"postoperative":[137,156],"sinus":[138,164,243,256,296],"Valsalva":[140,298],"diameter":[141,165,244,257,299],"did":[142,205,272],"not":[143,206,225,273,314],"differ":[144,274],"between":[145,275],"groups":[146],"(":[147],"P":[148,182,198,210,221,234,266],"0.192).":[150],"After":[151],"Holm":[152],"correction":[153],"across":[154],"12":[155,188,230,304],"comparisons,":[158],"Group":[159,259],"had":[161],"smaller":[163,295],"1":[167,218,301],"month":[168,219],"[Hodges-Lehmann":[169],"location":[170],"shift,":[171],"-4.0":[172],"mm;":[173,191],"95%":[174,192],"confidence":[175],"interval":[176],"(CI),":[177],"-6.3":[178],"-1.3;":[180],"adjusted":[181,197,233,240],"0.034]":[184],"approximately":[187,229,254,303],"months":[189,231,305],"(-4.0":[190],"CI,":[193,262],"-6.1":[194],"-1.7;":[196],"0.015),":[200],"whereas":[201],"6-month":[203],"comparison":[204],"remain":[207],"significant":[208],"(adjusted":[209,220],"0.195).":[212],"The":[213],"baseline-to-follow-up":[214],"change":[215],"differed":[216],"0.026)":[223],"6":[227],"(both":[232],"0.072).":[236],"sensitivity":[238],"model":[239],"baseline":[242],"preoperative":[246],"flow":[248],"velocity":[249],"estimated":[250],"3.63-mm":[252],"larger":[253],"12-month":[255],"B":[260],"(95%":[261],"1.26":[263],"6.00;":[265],"0.004).":[268],"Aortic":[269],"regurgitation":[270],"grade":[271],"groups.":[276],"In":[277],"this":[278],"cohort,":[281],"was":[288,291],"feasible":[289],"after":[306],"multiplicity":[307],"correction.":[308],"These":[309],"exploratory":[310],"findings":[312],"do":[313],"safety":[316],"equivalence,":[317],"improved":[318],"valve":[319],"function,":[320],"clinical":[321],"benefit,":[322],"long-term":[324],"durability.":[325]},"counts_by_year":[],"updated_date":"2026-11-02T09:45:03.842371","created_date":"2026-11-01T00:00:00"}
