{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,5]],"date-time":"2025-05-05T01:10:03Z","timestamp":1746407403628,"version":"3.40.4"},"reference-count":8,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,5,5]],"date-time":"2025-05-05T00:00:00Z","timestamp":1746403200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,5,5]],"date-time":"2025-05-05T00:00:00Z","timestamp":1746403200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["CVIR Endovasc"],"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Backround<\/jats:title>\n            <jats:p>Right-sided aortic arch is a rare congenital variant. The Edwards classification describes three types of right sided-aortic arch: right aortic arch with aberrant left subclavian artery, right aortic arch with mirror image branching, and right aortic arch with isolation of the left subclavian artery.<\/jats:p>\n            <jats:p>Aneurysms associated with right sided aortic arch are rare.<\/jats:p>\n            <jats:p>Pain is the commonest presenting symptom, but due to the anatomy of the right aortic arch, the symptoms may be atypical, as dysphagia.<\/jats:p>\n            <jats:p>We present a case of a challenging endovascular repair in a patient with aneurysm of descending thoracic aorta and right aortic arch.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Case presentation<\/jats:title>\n            <jats:p>\u0391 55\u00a0year old patient was admitted in our hospital with chest pain.<\/jats:p>\n            <jats:p>After the initial clinical and laboratory workout that was negative for acute coronary syndrome, Computed Tomography Angiography revealed an aneurysm of the descending aorta 10,3\u00a0cm in width, and a right sided aortic arch (Edwards\u2019 classification).<\/jats:p>\n            <jats:p>Endovascular repair was selected as the treatment option of choice.<\/jats:p>\n            <jats:p>Technically the endografting was challenging, firstly because of the right sided aortic arch, secondly because the four aortic branches originate independently. In order to identify the orifices of arch vessels during the angiography, brachial access in both upper extremities was achieved.<\/jats:p>\n            <jats:p>In this way, it was possible to correctly deploy the thoracic aortic stent graft.<\/jats:p>\n            <jats:p>No endoleaks were observed in the final angiography.<\/jats:p>\n            <jats:p>Postoperative Computed Tomography Angiography 10\u00a0months after the operation showed no endoleaks.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>This case indicates that TEVAR is feasible as a treatment option in patients with right-sided aortic arch, even though technically is challenging.<\/jats:p>\n            <jats:p>However more evidence-based data are needed to certify long-term safety and efficacy of endovascular repair in treatment of thoracic aortic aneurysm associated with right-sided aortic arch.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1186\/s42155-025-00526-1","type":"journal-article","created":{"date-parts":[[2025,5,5]],"date-time":"2025-05-05T00:28:22Z","timestamp":1746404902000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Endovascular treatment of a descending thoracic aorta aneurysm in a patient with right sided aortic arch: a case report"],"prefix":"10.1186","volume":"8","author":[{"given":"Nefeli","family":"Ntinou","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Panagiotis","family":"Petaloudis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dimitra","family":"Tachmetzidi Papoutsi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vasileios","family":"Panou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Myrto","family":"Papadopoulou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dimitrios","family":"Tomais","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ioannis","family":"Kalogeropoulos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Theodoros","family":"Kratimenos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,5,5]]},"reference":[{"issue":"1","key":"526_CR1","doi-asserted-by":"publisher","first-page":"32","DOI":"10.1148\/rg.2017160033","volume":"37","author":"K Hanneman","year":"2017","unstructured":"Hanneman K, Newman B, Chan F. Congenital Variants and Anomalies of the Aortic Arch. Radiographics. 2017;37(1):32\u201351.","journal-title":"Radiographics"},{"key":"526_CR2","doi-asserted-by":"crossref","unstructured":"\u200cNomura Y, Yuri K, Kimura N, Okamura H, Itoh S, Matsumoto H, et al. Endovascular repair of thoracic aortic aneurysm associated with right-sided aortic arch: report of two cases. Gen Thorac Cardiovasc Surg. 2016;64(9):552\u20137.","DOI":"10.1007\/s11748-014-0514-7"},{"issue":"1","key":"526_CR3","doi-asserted-by":"publisher","first-page":"156","DOI":"10.1093\/icvts\/ivw058","volume":"23","author":"JG Barr","year":"2016","unstructured":"Barr JG, Sepehripour AH, Jarral OA, Tsipas P, Kokotsakis J, Kourliouros A, et al. A review of the surgical management of right-sided aortic arch aneurysms. Interact Cardiovasc Thorac Surg. 2016;23(1):156\u201362.","journal-title":"Interact Cardiovasc Thorac Surg"},{"key":"526_CR4","doi-asserted-by":"crossref","unstructured":"Upchurch GR, Escobar GA, Azizzadeh A, Beck AW, Conrad MF, Matsumura JS, et al. Society for Vascular Surgery clinical practice guidelines of thoracic endovascular aortic repair for descending thoracic aortic aneurysms. J Vasc Surg. 2021;73(1):55S83S. Available from: https:\/\/www.jvascsurg.org\/article\/S0741-5214(20)31521-4\/fulltext.","DOI":"10.1016\/j.jvs.2020.05.076"},{"key":"526_CR5","doi-asserted-by":"crossref","unstructured":"Czerny M, Grabenw\u00f6ger M, Berger T, Aboyans V, Alessandro Della Corte, Chen EP, et al. EACTS\/STS Guidelines for diagnosing and treating acute and chronic syndromes of the aortic organ. 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Cardiovasc Intervent Radiol. 2009;32(5):849\u201360.","journal-title":"Cardiovasc Intervent Radiol"}],"container-title":["CVIR Endovascular"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s42155-025-00526-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s42155-025-00526-1\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s42155-025-00526-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,5]],"date-time":"2025-05-05T00:28:25Z","timestamp":1746404905000},"score":1,"resource":{"primary":{"URL":"https:\/\/CVIRendovasc.springeropen.com\/articles\/10.1186\/s42155-025-00526-1"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,5]]},"references-count":8,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["526"],"URL":"https:\/\/doi.org\/10.1186\/s42155-025-00526-1","relation":{},"ISSN":["2520-8934"],"issn-type":[{"value":"2520-8934","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5,5]]},"assertion":[{"value":"11 November 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"28 January 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"5 May 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The need for ethics approval was waived.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient for publication of this case report and any accompanying images.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The author declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"38"}}