{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,31]],"date-time":"2026-01-31T14:42:08Z","timestamp":1769870528787,"version":"3.49.0"},"reference-count":58,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"9","license":[{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Neurosurg Case Lessons"],"published-print":{"date-parts":[[2025,9,1]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Vertebrobasilar junction (VBJ) aneurysms are frequently associated with basilar artery variations like fenestration or hypoplasia, altering hemodynamics. An interrupted aortic arch (IAA), a rare congenital malformation, may contribute to intracranial aneurysms via vascular wall defects, hemodynamic stress, and compensatory hypertension. Coexistence of IAA with cerebrovascular anomalies and VBJ aneurysms is exceptionally rare, with no prior documented cases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBSERVATIONS<\/jats:title>\n                    <jats:p>A 33-year-old female presented with a ruptured VBJ saccular aneurysm (2.0 \u00d7 4.1 \u00d7 2.9 mm). Emergency right transradial stent-assisted coiling achieved complete occlusion (Raymond-Roy Occlusion Classification class I). Associated anomalies included 1) Celoria-Patton type B IAA, 2) diffuse basilar hypoplasia, and 3) proximal basilar occlusion. Echocardiography confirmed isolated Celoria-Patton type B IAA. Postoperative MRI performed on day 4 revealed no infarction, and CT performed on day 12 confirmed subarachnoid hemorrhage (SAH) resolution. The patient was discharged neurologically intact (modified Rankin Scale score 0). Seven-month CT angiography demonstrated stable coils, an intact stent, and patent vertebral arteries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LESSONS<\/jats:title>\n                    <jats:p>In adults or adolescents with aneurysmal SAH, IAA typically manifests as an isolated anomaly pathologically linked to prenatal development of robust compensatory collateral circulation supplying the descending aorta. This case demonstrates a synergistic pathogenesis involving two critical hemodynamic factors: proximal basilar artery occlusion combined with type B aortic arch discontinuity, collectively promoting VBJ aneurysm formation. Transradial endovascular intervention proved safe and effective in this anatomically complex scenario.<\/jats:p>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/thejns.org\/doi\/10.3171\/CASE25421\">https:\/\/thejns.org\/doi\/10.3171\/CASE25421<\/jats:ext-link>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/case25421","type":"journal-article","created":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T23:49:14Z","timestamp":1756770554000},"source":"Crossref","is-referenced-by-count":0,"title":["Ruptured vertebrobasilar junction aneurysm coexisting with isolated interrupted aortic arch and basilar artery hypoplasia in an adult female: illustrative case"],"prefix":"10.3171","volume":"10","author":[{"given":"Yang","family":"Dong","sequence":"first","affiliation":[{"name":"Wuxi Medical Center of Nanjing Medical University, Wuxi, Jiangsu Province, China"},{"name":"Wuxi Medical Center of Nanjing Medical University, Wuxi, Jiangsu Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Weiyi","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, The Affiliated Wuxi People\u2019s Hospital of Nanjing Medical University, Wuxi, Jiangsu Province, China"},{"name":"Wuxi Medical Center of Nanjing Medical University, Wuxi, Jiangsu Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Weifeng","family":"Miao","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, The Affiliated Wuxi People\u2019s Hospital of Nanjing Medical University, Wuxi, Jiangsu Province, China"},{"name":"Wuxi Medical Center of Nanjing Medical University, Wuxi, Jiangsu Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yiping","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, The Affiliated Wuxi People\u2019s Hospital of Nanjing Medical University, Wuxi, Jiangsu Province, China"},{"name":"Wuxi Medical Center of Nanjing Medical University, Wuxi, Jiangsu Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Junfei","family":"Shao","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, The Affiliated Wuxi People\u2019s Hospital of Nanjing Medical University, Wuxi, Jiangsu Province, China"},{"name":"Wuxi Medical Center of Nanjing Medical University, Wuxi, Jiangsu Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jun","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, The Affiliated Wuxi People\u2019s Hospital of Nanjing Medical University, Wuxi, Jiangsu Province, China"},{"name":"Wuxi Medical Center of Nanjing Medical University, Wuxi, Jiangsu Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"issue":"9","key":"bib1","series-title":"AJNR Am J Neuroradiol","first-page":"1747","article-title":"Aneurysms of the vertebrobasilar junction: incidence, clinical presentation, and outcome of endovascular treatment","volume":"28","author":"Peluso","year":"2007","unstructured":"Peluso JPPvan Rooij WJSluzewski MBeute GN.Aneurysms of the vertebrobasilar junction: incidence, clinical presentation, and outcome of endovascular treatment. AJNR Am J Neuroradiol. 2007;28(9):1747-1751."},{"key":"bib2","series-title":"Int J Surg Case Rep","first-page":"106744","article-title":"Treatment of ruptured subclavian steal flow-related vertebrobasilar junction aneurysms: case report on surgical and endovascular considerations from two cases","volume":"90","author":"Cornelissen","year":"2022","unstructured":"Cornelissen SAHeye SMaleux GDaenens Kvan Loon JDe Vleeschouwer S.Treatment of ruptured subclavian steal flow-related vertebrobasilar junction aneurysms: case report on surgical and endovascular considerations from two cases. 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Oper Neurosurg. 2023;25(6):521-528."},{"issue":"1","key":"bib4","series-title":"J Neuroendovascular Ther","first-page":"2024-0106","article-title":"Stent-assisted coil embolization and subclavian artery stenting via the radial approach for vertebrobasilar junction aneurysm associated with left subclavian artery occlusion","volume":"19","author":"Maeyama","year":"2025","unstructured":"Maeyama HOgata AKoga FStent-assisted coil embolization and subclavian artery stenting via the radial approach for vertebrobasilar junction aneurysm associated with left subclavian artery occlusion. J Neuroendovascular Ther. 2025;19(1):2024-0106."},{"issue":"6","key":"bib5","series-title":"Ann Thorac Surg","first-page":"e139","article-title":"Surgical repair of interrupted aortic arch and interrupted pulmonary artery","volume":"100","author":"Varghese","year":"2015","unstructured":"Varghese RSaheed SBOmoregbee BNinan BPavithran SKothandam S.Surgical repair of interrupted aortic arch and interrupted pulmonary artery. Ann Thorac Surg. 2015;100(6):e139-e140."},{"issue":"6","key":"bib6","series-title":"AJR Am J Roentgenol","first-page":"1467","article-title":"Interrupted aortic arch: spectrum of MRI findings","volume":"190","author":"Dillman","year":"2008","unstructured":"Dillman JRYarram SGD\u2019Amico ARHernandez RJ.Interrupted aortic arch: spectrum of MRI findings. 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