05 April 2026
: Case report 
Arch-First Technique for Extensive Thoracic Aortic Replacement: A Case Series of Patients With Complex Thoracic Aortic Disease
Management of emergency care, Rare disease, Educational Purpose (only if useful for a systematic review or synthesis)
Vlasios Karageorgos ABCDEF 1, Matias Matthew Chamogeorgakis ABEF 2, Konstantinos Ieromonachos BCDEF 2, Antigoni Koliopoulou BDEF 2, Nikolaos A. Papakonstantinou
BCDEF 2, Panagiotis Latsonas BCDEF 2, Eris Ntylgia BCDEF 2, Athanasios Katsargyris BCDEF 3, Christos Klonaris BCDEF 3, Themistoklis Chamogeorgakis ABCDEFG 2*
DOI: 10.12659/AJCR.951286
Am J Case Rep 2026; 27:e951286
Figure 1 Preoperative computed tomography angiogram demonstrating the extent of thoracic aortic pathology. Three-dimensional reconstruction of a preoperative computed tomography angiogram showing the extent of aortic pathology involving the ascending aorta, aortic arch, and descending thoracic aorta – a major prerequisite for appropriate surgical planning. Note (blue arrow) the maximal dilatation (47 mm) at the level of the proximal descending aorta.