{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:04:19Z","timestamp":1753877059702,"version":"3.41.2"},"reference-count":20,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2023,11,27]],"date-time":"2023-11-27T00:00:00Z","timestamp":1701043200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,12,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p\/>\n               <jats:sec>\n                  <jats:title>OBJECTIVES<\/jats:title>\n                  <jats:p>The ideal treatment for aneuryms of aberrant left subclavian arteries with Kommerell's diverticulum arising from right aortic arches remains open.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>Between January 2015 and December 2020, 5 patients with aneurysms from a right-sided aortic arch with aberrant left subclavian artery and Kommerell\u2019s diverticulum underwent repair by using the frozen elephant trunk technique in 3 aortic centres. Patients\u2019 characteristics were retrospectively reviewed and the surgical procedure and outcomes are presented.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>The median age of the 2 male and 3 female patients was 59 (range from 49 to 63) years. The median operative times were as follows: surgery 405\u2009min (range from 335 to 534), cardiopulmonary bypass time 244\u2009min (range from 208 to 280) and aortic clamp time 120\u2009min (from 71 to 184). The mean core temperature was 25.94\u00b0C (from 24 to 28). The intensive care unit stay was 4\u2009days (range from 1 to 8) and the in-hospital stay 21\u2009days (from 16 to 34). All patients were discharged and we observed no stroke or spinal cord ischaemia postoperatively. During the median follow-up time of 1003\u2009days (range from 450 to 2306), 3 patients required subsequent thoracic endovascular distal stent graft extension.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>The frozen elephant trunk technique is a good treatment option for patients with aneuryms of an aberrant left subclavian artery with Kommerell's diverticulum arising from right aortic arches. Secondary stent graft extension is a frequently needed component of the treatment concept.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/icvts\/ivad188","type":"journal-article","created":{"date-parts":[[2023,11,26]],"date-time":"2023-11-26T06:55:15Z","timestamp":1700981715000},"source":"Crossref","is-referenced-by-count":0,"title":["Treatment of right-sided aortic arch aneurysms with aberrant left subclavian artery with Kommerell\u2019s diverticulum using the frozen elephant trunk technique"],"prefix":"10.1093","volume":"37","author":[{"given":"Andrzej","family":"Juraszek","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, Medical Center University of Freiburg, Faculty of Medicine, University of Freiburg , Freiburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tim","family":"Berger","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Medical Center University of Freiburg, Faculty of Medicine, University of Freiburg , Freiburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3099-7254","authenticated-orcid":false,"given":"Maximilian","family":"Kreibich","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Medical Center University of Freiburg, Faculty of Medicine, University of Freiburg , Freiburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8984-6779","authenticated-orcid":false,"given":"Konstantinos","family":"Tsagakis","sequence":"additional","affiliation":[{"name":"Department of Cardio-thoracic Surgery, West German Heart and Vascular Center Essen , Essen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thanos","family":"Sioris","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, University Hospital Tampere , Tampere, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zeynep","family":"Berkarda","sequence":"additional","affiliation":[{"name":"Department of Diagnostic and Interventional Radiology, Medical Center University of Freiburg, Faculty of Medicine, University of Freiburg , Freiburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6890-2172","authenticated-orcid":false,"given":"Bartosz","family":"Rylski","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Medical Center University of Freiburg, Faculty of Medicine, University of Freiburg , Freiburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3305-9343","authenticated-orcid":false,"given":"Matthias","family":"Siepe","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Medical Center University of Freiburg, Faculty of Medicine, University of Freiburg , Freiburg, Germany"},{"name":"Department of Cardiac Surgery, Inselspital, Bern University Hospital, University of Bern , Bern, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Czerny","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Medical Center University of Freiburg, Faculty of Medicine, University of Freiburg , Freiburg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2023,11,27]]},"reference":[{"key":"2023121515031072400_ivad188-B1","doi-asserted-by":"crossref","first-page":"2381","DOI":"10.1080\/14767058.2017.1342807","article-title":"Bovine aortic arch: clinical significance and hemodynamic evaluation","volume":"31","author":"Clerici","year":"2018","journal-title":"J Matern Fetal Neonatal Med"},{"key":"2023121515031072400_ivad188-B2","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1016\/j.jvscit.2019.02.009","article-title":"Right-sided aortic arch with aberrant left subclavian artery and Kommerell diverticulum","volume":"5","author":"Raymond","year":"2019","journal-title":"J Vasc Surg Cases Innov Tech"},{"key":"2023121515031072400_ivad188-B3","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1016\/S1726-4901(09)70070-X","article-title":"A right-sided aortic arch with Kommerell's diverticulum of the aberrant left subclavian artery presenting with syncope","volume":"72","author":"Yang","year":"2009","journal-title":"J Chin Med Assoc"},{"key":"2023121515031072400_ivad188-B4","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1016\/j.ijcard.2017.04.052","article-title":"Left aberrant subclavian artery. 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