\documentclass[10pt]{article}

\usepackage{fullpage}
\usepackage{setspace}
\usepackage{parskip}
\usepackage{titlesec}
\usepackage[section]{placeins}
\usepackage{xcolor}
\usepackage{breakcites}
\usepackage{lineno}
\usepackage{hyphenat}





\PassOptionsToPackage{hyphens}{url}
\usepackage[colorlinks = true,
            linkcolor = blue,
            urlcolor  = blue,
            citecolor = blue,
            anchorcolor = blue]{hyperref}
\usepackage{etoolbox}
\makeatletter
\patchcmd\@combinedblfloats{\box\@outputbox}{\unvbox\@outputbox}{}{%
  \errmessage{\noexpand\@combinedblfloats could not be patched}%
}%
\makeatother


\usepackage{natbib}




\renewenvironment{abstract}
  {{\bfseries\noindent{\abstractname}\par\nobreak}\footnotesize}
  {\bigskip}

\titlespacing{\section}{0pt}{*3}{*1}
\titlespacing{\subsection}{0pt}{*2}{*0.5}
\titlespacing{\subsubsection}{0pt}{*1.5}{0pt}


\usepackage{authblk}


\usepackage{graphicx}
\usepackage[space]{grffile}
\usepackage{latexsym}
\usepackage{textcomp}
\usepackage{longtable}
\usepackage{tabulary}
\usepackage{booktabs,array,multirow}
\usepackage{amsfonts,amsmath,amssymb}
\providecommand\citet{\cite}
\providecommand\citep{\cite}
\providecommand\citealt{\cite}
% You can conditionalize code for latexml or normal latex using this.
\newif\iflatexml\latexmlfalse
\providecommand{\tightlist}{\setlength{\itemsep}{0pt}\setlength{\parskip}{0pt}}%

\AtBeginDocument{\DeclareGraphicsExtensions{.pdf,.PDF,.eps,.EPS,.png,.PNG,.tif,.TIF,.jpg,.JPG,.jpeg,.JPEG}}

\usepackage[utf8]{inputenc}
\usepackage[english]{babel}



\usepackage{float}








\begin{document}

\title{Transfemoral Transcatheter Aortic Valve Implantation using a Long Sheath
for Chronic Type B Aortic Dissection: A Case Report}



\author[1]{Masaki Tsuda}%
\author[1]{Yasuyuki Egami}%
\author[1]{Koji Yasumoto}%
\author[1]{Naotaka Okamoto}%
\author[1]{Yasuharu Matsunaga-Lee}%
\author[1]{Masamichi Yano}%
\author[1]{Masami Nishino}%
\author[1]{Jun Tanouchi}%
\affil[1]{Osaka Rosai Hospital}%


\vspace{-1em}



  
  \date{May 14, 2024}


\begingroup
\let\center\flushleft
\let\endcenter\endflushleft
\maketitle
\endgroup





\selectlanguage{english}
\begin{abstract}
A 79-year-old woman with a history of open heart surgery presented with
severe aortic stenosis (AS). Computed tomography (CT) showed chronic
type B aortic dissection (TBAD) between the distal aortic arch and the
left common iliac artery. After careful consideration, we planned
transfemoral (TF)-transcatheter aortic valve implantation (TAVI) using a
20-Fr long sheath to minimize contact with the false lumen of the aorta.
TAVI was performed under general anesthesia, guided by transesophageal
echocardiography (TEE). A transcatheter aortic valve was successfully
implanted. TEE, immediately after valve implantation, showed no
remarkable changes in the descending thoracic aorta. Repeated
post-procedural CT examinations showed no obvious changes in the aorta.
The patient was stable without sequelae at the 12-month follow-up. This
case demonstrates that TF-TAVI using a long sheath under TEE guidance
can be a treatment option for patients with severe AS and chronic TBAD.%
\end{abstract}%



\sloppy


\textbf{Hosted file}

\verb`Main_document_of_TF-TAVI_Using_Long_Sheath_ver.3.doc`  available at \url{https://authorea.com/users/311851/articles/524886-transfemoral-transcatheter-aortic-valve-implantation-using-a-long-sheath-for-chronic-type-b-aortic-dissection-a-case-report}

\textbf{Hosted file}

\verb`Table_1.docx`  available at \url{https://authorea.com/users/311851/articles/524886-transfemoral-transcatheter-aortic-valve-implantation-using-a-long-sheath-for-chronic-type-b-aortic-dissection-a-case-report}\selectlanguage{english}
\begin{figure}[H]
\begin{center}
\includegraphics[width=0.70\columnwidth]{figures/Figure-1/Figure-1}

\end{center}
\end{figure}\selectlanguage{english}
\begin{figure}[H]
\begin{center}
\includegraphics[width=0.70\columnwidth]{figures/Figure-2-ver/Figure-2-ver}

\end{center}
\end{figure}\selectlanguage{english}
\begin{figure}[H]
\begin{center}
\includegraphics[width=0.70\columnwidth]{figures/Figure-3/Figure-3}

\end{center}
\end{figure}

\selectlanguage{english}
\FloatBarrier
\end{document}

