{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T14:00:07Z","timestamp":1762869607052,"version":"build-2065373602"},"reference-count":12,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,3,17]],"date-time":"2019-03-17T00:00:00Z","timestamp":1552780800000},"content-version":"vor","delay-in-days":75,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Surgery"],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:p>\n                    <jats:italic>Introduction and Background<\/jats:italic>\n                    . Right aberrant subclavian artery accounts for 0.5\u20101.8% of the population as the most frequently encountered aortic arch anomaly, while the prevalence of an isolated left vertebral artery ranges from 3 to 8%. Despite the low prevalence and the asymptomatic presentation of these structural anomalies, the development of cardiovascular complications and aneurysmal formation could happen as in Kommerell\u2019s diverticulum in a complicated right aberrant subclavian artery, which can undergo aneurysmal degeneration and dissection. Depending on the severity and the degree of the symptoms, the management of the patient can be determined.\n                    <jats:italic>Case Presentation<\/jats:italic>\n                    . A 51\u2010year\u2010old male hypertensive Pakistani patient was admitted complaining of chest and back pain; a CT of the aorta was done and showed type B aortic dissection associated with a right aberrant subclavian artery with an isolated left vertebral artery. A thoracic endovascular aneurysmal repair was done, and the patient improved afterward.\n                    <jats:italic>Conclusion<\/jats:italic>\n                    . The prevalence of these structural anomalies, the right aberrant subclavian artery, Kommerell\u2019s diverticulum, and isolated left vertebral artery with type B aortic dissection, is uncommon. Therefore, the earlier the diagnosis, the better the treatment. This is the first case report explaining the occurrence of these vascular anomalies together in Saudi Arabia.\n                  <\/jats:p>","DOI":"10.1155\/2019\/7927613","type":"journal-article","created":{"date-parts":[[2019,3,17]],"date-time":"2019-03-17T19:40:18Z","timestamp":1552851618000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Three Rare Structural Anomalies: Right Aberrant Subclavian Artery,\n                    <i>Kommerell\u2019s Diverticulum<\/i>\n                    , and Isolated Left Vertebral Artery All Associated with Type B Aortic Dissection"],"prefix":"10.1155","volume":"2019","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9953-3664","authenticated-orcid":false,"given":"Yasser 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Rabea","family":"Alotaibi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,3,17]]},"reference":[{"key":"e_1_2_9_1_2","doi-asserted-by":"publisher","DOI":"10.4103\/apc.APC_158_16"},{"key":"e_1_2_9_2_2","doi-asserted-by":"publisher","DOI":"10.12945\/j.aorta.2015.15.022"},{"key":"e_1_2_9_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0741-5214(02)75464-5"},{"key":"e_1_2_9_4_2","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezv242"},{"key":"e_1_2_9_5_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-980040"},{"key":"e_1_2_9_6_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0032-1315629"},{"key":"e_1_2_9_7_2","doi-asserted-by":"publisher","DOI":"10.5935\/1678-9741.20150071"},{"key":"e_1_2_9_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-195510000-00005"},{"key":"e_1_2_9_9_2","first-page":"743","article-title":"Dissecting aortic aneurysm involving an anomalous right subclavian artery and isolated left vertebral artery: case report and review of the literature","volume":"39","author":"Nonami Y.","year":"1998","journal-title":"The Journal of Cardiovascular Surgery"},{"key":"e_1_2_9_10_2","first-page":"477","article-title":"Surgical approaches to the aberrant right subclavian artery","volume":"33","author":"Atay Y.","year":"2006","journal-title":"Texas Heart Institute Journal"},{"key":"e_1_2_9_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12055-016-0459-9"},{"key":"e_1_2_9_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11748-015-0521-3"}],"container-title":["Case Reports in 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