{"id":"https://openalex.org/W7225316285","doi":"https://doi.org/10.1186/s40981-026-00888-y","title":"Management-changing diagnosis of presumed clamp-related brachiocephalic artery injury by transesophageal echocardiography during total aortic arch replacement: a case report","display_name":"Management-changing diagnosis of presumed clamp-related brachiocephalic artery injury by transesophageal echocardiography during total aortic arch replacement: a case report","publication_year":2026,"publication_date":"2026-11-06","ids":{"openalex":"https://openalex.org/W7225316285","doi":"https://doi.org/10.1186/s40981-026-00888-y"},"language":"en","primary_location":{"id":"doi:10.1186/s40981-026-00888-y","doi":"https://doi.org/10.1186/s40981-026-00888-y","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s40981-026-00888-y","pdf_url":null,"source":{"id":"https://openalex.org/S2764345782","display_name":"JA Clinical Reports","issn_l":"2363-9024","issn":["2363-9024"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","jufo-1","oarl","poland-20","russia-white-list-3"],"host_organization":"https://openalex.org/P4310319965","host_organization_name":"Springer Nature","host_organization_lineage":["https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JA Clinical Reports","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1186/s40981-026-00888-y","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5065387573","display_name":"Yasuhiro Suda","orcid":"https://orcid.org/0009-0009-8519-939X","observed_orcids":["https://orcid.org/0009-0009-8519-939X"]},"institutions":[{"id":"https://openalex.org/I147809708","display_name":"Asahikawa Medical University","ror":"https://ror.org/025h9kw94","country_code":"JP","type":"education","lineage":["https://openalex.org/I147809708"]}],"countries":["JP"],"is_corresponding":true,"raw_author_name":"Yasuhiro Suda","raw_affiliation_strings":["Department of Anesthesiology and Critical Care Medicine, Asahikawa Medical University, Midorigaoka-Higashi 2-1-1-1, Asahikawa, Hokkaido, 078-8510, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Anesthesiology and Critical Care Medicine, Asahikawa Medical University, Midorigaoka-Higashi 2-1-1-1, Asahikawa, Hokkaido, 078-8510, Japan","institution_ids":["https://openalex.org/I147809708"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5015128836","display_name":"Sarah Kyuragi Luthe","orcid":"https://orcid.org/0000-0003-4861-4426","observed_orcids":["https://orcid.org/0000-0003-4861-4426"]},"institutions":[{"id":"https://openalex.org/I147809708","display_name":"Asahikawa Medical University","ror":"https://ror.org/025h9kw94","country_code":"JP","type":"education","lineage":["https://openalex.org/I147809708"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Sarah Kyuragi Luthe","raw_affiliation_strings":["Department of Anesthesiology and Critical Care Medicine, Asahikawa Medical University, Midorigaoka-Higashi 2-1-1-1, Asahikawa, Hokkaido, 078-8510, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Anesthesiology and Critical Care Medicine, Asahikawa Medical University, Midorigaoka-Higashi 2-1-1-1, Asahikawa, Hokkaido, 078-8510, Japan","institution_ids":["https://openalex.org/I147809708"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5085431680","display_name":"Tsukasa Uesaka","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I147809708","display_name":"Asahikawa Medical University","ror":"https://ror.org/025h9kw94","country_code":"JP","type":"education","lineage":["https://openalex.org/I147809708"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Tsukasa Uesaka","raw_affiliation_strings":["Department of Anesthesiology and Critical Care Medicine, Asahikawa Medical University, Midorigaoka-Higashi 2-1-1-1, Asahikawa, Hokkaido, 078-8510, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Anesthesiology and Critical Care Medicine, Asahikawa Medical University, Midorigaoka-Higashi 2-1-1-1, Asahikawa, Hokkaido, 078-8510, Japan","institution_ids":["https://openalex.org/I147809708"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5113275227","display_name":"Miho Takemitsu","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I147809708","display_name":"Asahikawa Medical University","ror":"https://ror.org/025h9kw94","country_code":"JP","type":"education","lineage":["https://openalex.org/I147809708"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Miho Takemitsu","raw_affiliation_strings":["Department of Anesthesiology and Critical Care Medicine, Asahikawa Medical University, Midorigaoka-Higashi 2-1-1-1, Asahikawa, Hokkaido, 078-8510, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Anesthesiology and Critical Care Medicine, Asahikawa Medical University, Midorigaoka-Higashi 2-1-1-1, Asahikawa, Hokkaido, 078-8510, Japan","institution_ids":["https://openalex.org/I147809708"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160979231","display_name":"Masumi Inoue","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I147809708","display_name":"Asahikawa Medical University","ror":"https://ror.org/025h9kw94","country_code":"JP","type":"education","lineage":["https://openalex.org/I147809708"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Masumi Inoue","raw_affiliation_strings":["Department of Anesthesiology and Critical Care Medicine, Asahikawa Medical University, Midorigaoka-Higashi 2-1-1-1, Asahikawa, Hokkaido, 078-8510, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Anesthesiology and Critical Care Medicine, Asahikawa Medical University, Midorigaoka-Higashi 2-1-1-1, Asahikawa, Hokkaido, 078-8510, Japan","institution_ids":["https://openalex.org/I147809708"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5069326908","display_name":"Shingo Kunioka","orcid":"https://orcid.org/0000-0002-7451-5264","observed_orcids":["https://orcid.org/0000-0002-7451-5264"]},"institutions":[{"id":"https://openalex.org/I147809708","display_name":"Asahikawa Medical University","ror":"https://ror.org/025h9kw94","country_code":"JP","type":"education","lineage":["https://openalex.org/I147809708"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Shingo Kunioka","raw_affiliation_strings":["Department of Cardiac Surgery, Asahikawa Medical University, Midorigaoka-Higashi 2-1-1-1, Asahikawa, Hokkaido, 078-8510, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiac Surgery, Asahikawa Medical University, Midorigaoka-Higashi 2-1-1-1, Asahikawa, Hokkaido, 078-8510, Japan","institution_ids":["https://openalex.org/I147809708"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5101710438","display_name":"Hiroyuki Kamiya","orcid":"https://orcid.org/0000-0001-5623-1279","observed_orcids":["https://orcid.org/0000-0001-5623-1279"]},"institutions":[{"id":"https://openalex.org/I147809708","display_name":"Asahikawa Medical University","ror":"https://ror.org/025h9kw94","country_code":"JP","type":"education","lineage":["https://openalex.org/I147809708"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Hiroyuki Kamiya","raw_affiliation_strings":["Department of Cardiac Surgery, Asahikawa Medical University, Midorigaoka-Higashi 2-1-1-1, Asahikawa, Hokkaido, 078-8510, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiac Surgery, Asahikawa Medical University, Midorigaoka-Higashi 2-1-1-1, Asahikawa, Hokkaido, 078-8510, Japan","institution_ids":["https://openalex.org/I147809708"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5102725615","display_name":"Hiroshi Makino","orcid":"https://orcid.org/0000-0002-7030-0186","observed_orcids":["https://orcid.org/0000-0002-7030-0186"]},"institutions":[{"id":"https://openalex.org/I147809708","display_name":"Asahikawa Medical University","ror":"https://ror.org/025h9kw94","country_code":"JP","type":"education","lineage":["https://openalex.org/I147809708"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Hiroshi Makino","raw_affiliation_strings":["Department of Anesthesiology and Critical Care Medicine, Asahikawa Medical University, Midorigaoka-Higashi 2-1-1-1, Asahikawa, Hokkaido, 078-8510, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Anesthesiology and Critical Care Medicine, Asahikawa Medical University, Midorigaoka-Higashi 2-1-1-1, Asahikawa, Hokkaido, 078-8510, Japan","institution_ids":["https://openalex.org/I147809708"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5065387573"],"corresponding_institution_ids":["https://openalex.org/I147809708"],"apc_list":{"value":2390,"currency":"USD","value_usd":2390},"apc_paid":{"value":2390,"currency":"USD","value_usd":2390},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"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":0.9726999998092651,"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"}},"topics":[{"id":"https://openalex.org/T10618","display_name":"Aortic Disease and Treatment Approaches","score":0.9726999998092651,"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":0.005799999926239252,"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/T10816","display_name":"Cerebrovascular and Carotid Artery Diseases","score":0.0044999998062849045,"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/aortic-arch-replacement","display_name":"aortic arch replacement","score":0.7419999837875366},{"id":"https://openalex.org/keywords/transesophageal-echocardiography","display_name":"transesophageal echocardiography","score":0.9549999833106995},{"id":"https://openalex.org/keywords/carotid-compression","display_name":"carotid artery compression","score":0.6439999938011169},{"id":"https://openalex.org/keywords/cerebral-oxygen-saturation","display_name":"cerebral oxygen saturation","score":0.7609999775886536},{"id":"https://openalex.org/keywords/surgical-revision","display_name":"surgical revision","score":0.7480000257492065},{"id":"https://openalex.org/keywords/elderly-patients","display_name":"elderly patients","score":0.44200000166893005}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9569000005722046},{"id":"https://openalex.org/C2781285907","wikidata":"https://www.wikidata.org/wiki/Q616032","display_name":"Aortic arch","level":3,"score":0.7764999866485596},{"id":"https://openalex.org/C2779993142","wikidata":"https://www.wikidata.org/wiki/Q594660","display_name":"Aortic dissection","level":3,"score":0.6470000147819519},{"id":"https://openalex.org/C2781427539","wikidata":"https://www.wikidata.org/wiki/Q515917","display_name":"Brachiocephalic artery","level":4,"score":0.567300021648407},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.5299999713897705},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.46459999680519104},{"id":"https://openalex.org/C2781064879","wikidata":"https://www.wikidata.org/wiki/Q214275","display_name":"Common carotid artery","level":3,"score":0.43939998745918274},{"id":"https://openalex.org/C2779980429","wikidata":"https://www.wikidata.org/wiki/Q101004","display_name":"Aorta","level":2,"score":0.42910000681877136},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.428600013256073},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.39149999618530273},{"id":"https://openalex.org/C2775862295","wikidata":"https://www.wikidata.org/wiki/Q2660911","display_name":"Dissection (medical)","level":2,"score":0.38679999113082886},{"id":"https://openalex.org/C2779526319","wikidata":"https://www.wikidata.org/wiki/Q615057","display_name":"Anesthesiology","level":2,"score":0.33799999952316284},{"id":"https://openalex.org/C2780663194","wikidata":"https://www.wikidata.org/wiki/Q3270170","display_name":"Descending aorta","level":3,"score":0.3303999900817871},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.3174999952316284},{"id":"https://openalex.org/C2778427304","wikidata":"https://www.wikidata.org/wiki/Q6056643","display_name":"Interrupted aortic arch","level":4,"score":0.3174999952316284},{"id":"https://openalex.org/C84393581","wikidata":"https://www.wikidata.org/wiki/Q82642","display_name":"Blood pressure","level":2,"score":0.3050000071525574},{"id":"https://openalex.org/C2778119558","wikidata":"https://www.wikidata.org/wiki/Q4778773","display_name":"Aortography","level":3,"score":0.296999990940094},{"id":"https://openalex.org/C2911010140","wikidata":"https://www.wikidata.org/wiki/Q214275","display_name":"Right Common Carotid Artery","level":4,"score":0.28690001368522644},{"id":"https://openalex.org/C2781072225","wikidata":"https://www.wikidata.org/wiki/Q490059","display_name":"Subclavian artery","level":2,"score":0.2842999994754791},{"id":"https://openalex.org/C2776864027","wikidata":"https://www.wikidata.org/wiki/Q615993","display_name":"Thoracic aorta","level":3,"score":0.2815000116825104},{"id":"https://openalex.org/C2777323849","wikidata":"https://www.wikidata.org/wiki/Q616003","display_name":"Aortic aneurysm","level":3,"score":0.2784999907016754},{"id":"https://openalex.org/C2775845063","wikidata":"https://www.wikidata.org/wiki/Q2341350","display_name":"Brachiocephalic vein","level":3,"score":0.267300009727478},{"id":"https://openalex.org/C76538665","wikidata":"https://www.wikidata.org/wiki/Q6294669","display_name":"Oxygen saturation","level":3,"score":0.26600000262260437},{"id":"https://openalex.org/C2778249958","wikidata":"https://www.wikidata.org/wiki/Q2349469","display_name":"Ascending aorta","level":3,"score":0.2605000138282776},{"id":"https://openalex.org/C2776098176","wikidata":"https://www.wikidata.org/wiki/Q189389","display_name":"Aneurysm","level":2,"score":0.257999986410141}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1186/s40981-026-00888-y","doi":"https://doi.org/10.1186/s40981-026-00888-y","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s40981-026-00888-y","pdf_url":null,"source":{"id":"https://openalex.org/S2764345782","display_name":"JA Clinical Reports","issn_l":"2363-9024","issn":["2363-9024"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","jufo-1","oarl","poland-20","russia-white-list-3"],"host_organization":"https://openalex.org/P4310319965","host_organization_name":"Springer Nature","host_organization_lineage":["https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JA Clinical Reports","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.1186/s40981-026-00888-y","doi":"https://doi.org/10.1186/s40981-026-00888-y","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s40981-026-00888-y","pdf_url":null,"source":{"id":"https://openalex.org/S2764345782","display_name":"JA Clinical Reports","issn_l":"2363-9024","issn":["2363-9024"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-d","jufo-1","oarl","poland-20","russia-white-list-3"],"host_organization":"https://openalex.org/P4310319965","host_organization_name":"Springer Nature","host_organization_lineage":["https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JA Clinical Reports","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":"Case Report","id":"https://openalex.org/study-designs/case-report"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2039880992","https://openalex.org/W2020488984","https://openalex.org/W2164027564","https://openalex.org/W2132915800","https://openalex.org/W2093220517","https://openalex.org/W2005887721","https://openalex.org/W2120998213","https://openalex.org/W2043664635","https://openalex.org/W2166919343","https://openalex.org/W2422607022"],"abstract_inverted_index":{"Abstract":[0],"Background":[1],"Aortic":[2],"arch":[3,9,41,129],"branch":[4,130],"malperfusion":[5,131],"during":[6],"total":[7,39],"aortic":[8,40,128],"replacement":[10],"requires":[11],"prompt":[12],"diagnosis.":[13],"We":[14],"report":[15],"a":[16],"case":[17],"in":[18,127],"which":[19],"transesophageal":[20],"echocardiography":[21],"(TEE)":[22],"clarified":[23],"discordant":[24,124],"intraoperative":[25,137],"monitoring":[26,125],"findings":[27,98,126],"and":[28,52,92,107,112,132],"directly":[29],"guided":[30],"surgical":[31,101,138],"revision.":[32,102],"Case":[33],"presentation":[34],"A":[35],"77-year-old":[36],"woman":[37],"underwent":[38],"replacement.":[42],"After":[43,103],"separation":[44],"from":[45],"cardiopulmonary":[46],"bypass,":[47],"right":[48,53,76,89],"radial":[49],"arterial":[50,63,105],"pressure":[51,64,106],"regional":[54],"cerebral":[55,108],"oxygen":[56,109],"saturation":[57,110],"markedly":[58],"decreased,":[59],"whereas":[60],"direct":[61],"brachiocephalic":[62,70],"remained":[65],"preserved.":[66],"Targeted":[67,120],"TEE":[68,113,121],"demonstrated":[69],"artery":[71,79],"dissection":[72],"extending":[73],"into":[74,87],"the":[75,88],"common":[77],"carotid":[78],"with":[80],"true-lumen":[81],"compression,":[82],"loss":[83],"of":[84,116],"antegrade":[85,117],"flow":[86],"subclavian":[90],"artery,":[91],"retrograde":[93],"vertebral":[94],"collateral":[95],"flow.":[96,118],"These":[97],"prompted":[99],"immediate":[100],"reconstruction,":[104],"recovered,":[111],"confirmed":[114],"restoration":[115],"Conclusions":[119],"can":[122],"clarify":[123],"provide":[133],"critical":[134],"information":[135],"for":[136],"decision-making.":[139]},"counts_by_year":[],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2026-11-06T00:00:00"}