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 2 Postoperative computed tomography angiogram after single-stage arch-first thoracic aortic replacement. Three-dimensional postoperative computed tomography angiogram reconstruction highlighting the extensive single-stage thoracic aortic replacement performed with the arch-first technique. The graft configuration and reimplanted arch vessels (blue arrows) are visualized, confirming patency and effective reconstruction.