{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,25]],"date-time":"2026-01-25T03:35:46Z","timestamp":1769312146245,"version":"3.49.0"},"reference-count":20,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2019,4,26]],"date-time":"2019-04-26T00:00:00Z","timestamp":1556236800000},"content-version":"vor","delay-in-days":10,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,9,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p\/>\n               <jats:sec>\n                  <jats:title>OBJECTIVES<\/jats:title>\n                  <jats:p>Indications and techniques of repair for symptomatic or aneurysmal aberrant subclavian arteries (ASA) are controversial. This study analyses presentation, treatment and outcome of patients with symptomatic and\/or aneurysmal ASA.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>Retrospective analysis of consecutive adult patients undergoing symptomatic and\/or aneurysmal ASA repair between January 2000 and June 2016.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>Of 12 patients (4 females) with a median age of 66\u2009years (range 24\u201375), 10 had right ASA and 2 had left ASA originating from a right aortic arch. Six patients (50%) had Kommerell\u2019s diverticulum and 6 patients had aneurysmal dilatation of the ASA itself. Six patients presented with symptoms (dysphagia n\u2009=\u20094, chest pain n\u2009=\u20091, recurrent aspiration n\u2009=\u20091). Nine patients (75%) were treated by open ASA resection\/ligation with or without aortic repair. Three patients (25%) underwent hybrid repair using thoracic endovascular aortic repair to exclude the aberrant artery. ASA revascularization was achieved by subclavian\u2013carotid transposition (n\u2009=\u20097), carotid\u2013subclavian bypass (n\u2009=\u20091), aorto-subclavian bypass (n\u2009=\u20093) or reimplantation after aortic graft replacement (n\u2009=\u20091). Thirty-day mortality was 8% (n\u2009=\u20091). The median follow-up duration was 44\u2009months (range 24\u2013151). Symptoms were relieved in 4 and persisted partially in 1, while symptom relief remained unknown in 1 patient who died during follow-up. Imaging after a median of 34\u2009months (range 2\u2013134) after the operation showed patent ASA revascularization in all patients and no endoleaks in the hybrid group.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>Surgical and hybrid repair allows satisfying results in patients with symptomatic and\/or aneurysmal ASA. The optimal procedure has to be defined on an individual patient basis. Further studies, preferably with a multicentre approach, are required to answer more specific questions on the management of these patients and especially to assess long-term results following hybrid repair.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/icvts\/ivz095","type":"journal-article","created":{"date-parts":[[2019,3,15]],"date-time":"2019-03-15T12:08:19Z","timestamp":1552651699000},"page":"344-351","source":"Crossref","is-referenced-by-count":17,"title":["Symptomatic or aneurysmal aberrant subclavian arteries: results of surgical and hybrid repair"],"prefix":"10.1093","volume":"29","author":[{"given":"Salome","family":"Weiss","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Didem","family":"Halig\u00fcr","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Silvan","family":"Jungi","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Florian S","family":"Sch\u00f6nhoff","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thierry","family":"Carrel","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00fcrg","family":"Schmidli","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas R","family":"Wyss","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2019,4,16]]},"reference":[{"key":"2019091012123636100_ivz095-B1","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1007\/s11748-015-0521-3","article-title":"Kommerell's diverticulum in the current era: a comprehensive review","volume":"63","author":"Tanaka","year":"2015","journal-title":"Gen Thorac Cardiovasc Surg"},{"key":"2019091012123636100_ivz095-B2","doi-asserted-by":"crossref","first-page":"508","DOI":"10.1016\/j.avsg.2011.02.012","article-title":"Contemporary management of aberrant right subclavian arteries","volume":"25","author":"Stone","year":"2011","journal-title":"Ann Vasc Surg"},{"key":"2019091012123636100_ivz095-B3","first-page":"109","article-title":"Burckhard F. 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