{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T06:31:04Z","timestamp":1786516264048,"version":"build-2736575974"},"reference-count":14,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T00:00:00Z","timestamp":1786492800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:p>Although rare, an exploration of treatment strategies for V1 segment vertebral artery aneurysms is warranted. Herein, we present the case of a 32-year-old woman diagnosed with a left supraclavicular region vertebral artery aneurysm treated at our centre. Computed tomography conducted post-admission revealed a thrombosed giant aneurysm measuring 69\u2009\u00d7\u200937\u2005mm. A hybrid repair was performed, combining a carotid artery-jugular vein graft-vertebral artery bypass with subclavian artery stent implantation. No neurological symptoms were observed. Stent and bypass patency were maintained at the 11-month follow-up. Overall, this case suggests that hybrid repair offers a less invasive and more effective alternative treatment for vertebral artery aneurysms.<\/jats:p>","DOI":"10.3389\/fsurg.2026.1867301","type":"journal-article","created":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T05:56:41Z","timestamp":1786514201000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Case Report: Hybrid treatment of a giant V1 segment vertebral artery aneurysm with bypass and subclavian artery stent"],"prefix":"10.3389","volume":"13","author":[{"given":"Chao","family":"Yan","sequence":"first","affiliation":[{"name":"Department of Vascular Surgery, The Second Affiliated Hospital of Zhejiang University School of Medicine","place":["Hangzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jinren","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, The Second Affiliated Hospital of Zhejiang University School of Medicine","place":["Hangzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yingming","family":"Xu","sequence":"additional","affiliation":[{"name":"Vascular Interventional Surgery, XingYi People's Hospital","place":["XingYi, GuiZhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yifeng","family":"Pan","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, The Second Affiliated Hospital of Zhejiang University School of Medicine","place":["Hangzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhiwei","family":"Gao","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, The Second Affiliated Hospital of Zhejiang University School of Medicine","place":["Hangzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,8,12]]},"reference":[{"key":"B1","first-page":"265","article-title":"Endovascular treatment of extracranial vertebral artery aneurysm and aberrant right subclavian artery aneurysm","volume":"55","author":"Ronchey","year":"2014","journal-title":"J Cardiovasc Surg (Torino)"},{"key":"B2","doi-asserted-by":"publisher","first-page":"1618","DOI":"10.1016\/j.jvs.2011.12.054","article-title":"Presentation and management of carotid artery aneurysms and pseudoaneurysms","volume":"55","author":"Garg","year":"2012","journal-title":"J Vasc Surg"},{"key":"B3","doi-asserted-by":"publisher","first-page":"103","DOI":"10.1016\/S0140-6736(03)13860-3","article-title":"Unruptured intracranial aneurysms: natural history, clinical outcome, and risks of surgical and endovascular treatment","volume":"362","author":"Wiebers","year":"2003","journal-title":"Lancet"},{"key":"B4","doi-asserted-by":"publisher","first-page":"101","DOI":"10.1016\/0002-9610(89)90355-3","article-title":"Trends in the management of traumatic vertebral artery injuries","volume":"158","author":"Blickenstaff","year":"1989","journal-title":"Am J Surg"},{"key":"B5","doi-asserted-by":"publisher","first-page":"628","DOI":"10.1177\/1591019917722515","article-title":"Successful endovascular treatment for thrombosed giant aneurysm of the V1 segment of the vertebral artery: a case report","volume":"23","author":"Kiyohira","year":"2017","journal-title":"Interv Neuroradiol"},{"key":"B6","doi-asserted-by":"publisher","first-page":"2571630","DOI":"10.1155\/2017\/2571630","article-title":"Treatment challenges of a primary vertebral artery aneurysm causing recurrent ischemic strokes","volume":"2017","author":"Strambo","year":"2017","journal-title":"Case Rep Neurol Med"},{"key":"B7","doi-asserted-by":"publisher","first-page":"e229108","DOI":"10.1136\/bcr-2018-229108","article-title":"Successful endovascular coil embolisation of a ruptured V1-segment vertebral artery dissecting aneurysm making a fistula with the adjacent vein","volume":"12","author":"Muhammad","year":"2019","journal-title":"BMJ Case Rep"},{"key":"B8","doi-asserted-by":"publisher","first-page":"184","DOI":"10.4103\/0028-3886.310099","article-title":"Endovascular treatment of a primary extracranial vertebral artery aneurysm causing ischemic stroke","volume":"69","author":"Wang","year":"2021","journal-title":"Neurol India"},{"key":"B9","doi-asserted-by":"publisher","first-page":"1338","DOI":"10.1007\/s00270-017-1656-7","article-title":"The new double-layer micromesh stent (roadsaver\u00ae): use in endovascular treatment of supraaortic and visceral artery aneurysms and pseudoaneurysms","volume":"40","author":"Akkan","year":"2017","journal-title":"Cardiovasc Intervent Radiol"},{"key":"B10","doi-asserted-by":"publisher","first-page":"442.e1","DOI":"10.1016\/j.avsg.2021.08.023","article-title":"Stent-graft treatment of a giant asymptomatic extracranial vertebral artery aneurysm: case report and literature review","volume":"79","author":"Pataki","year":"2022","journal-title":"Ann Vasc Surg"},{"key":"B11","doi-asserted-by":"publisher","first-page":"201","DOI":"10.1097\/01.RVI.0000109406.52762.98","article-title":"Covered stent placement in a traumatically injured vertebral artery","volume":"15","author":"H\u00fcttl","year":"2004","journal-title":"J Vasc Interv Radiol"},{"key":"B12","doi-asserted-by":"publisher","first-page":"42","DOI":"10.1177\/1708538119862952","article-title":"Hybrid versus in vitro fenestration for preserving the left subclavian artery in patients undergoing thoracic endovascular aortic repair with unfavorable proximal landing zone","volume":"28","author":"Wang","year":"2020","journal-title":"Vascular"},{"key":"B13","doi-asserted-by":"publisher","first-page":"215","DOI":"10.1016\/j.jvscit.2017.08.001","article-title":"Hybrid repair of a large pseudoaneurysm of the proximal right subclavian artery in a Marfan patient","volume":"3","author":"Van der Weijde","year":"2017","journal-title":"J Vasc Surg Cases Innov Tech"},{"key":"B14","doi-asserted-by":"publisher","first-page":"E8","DOI":"10.3171\/2018.11.FOCUS18360","article-title":"Carotid-vertebral artery bypass with saphenous vein graft for symptomatic vertebrobasilar insufficiency","volume":"46","author":"Duan","year":"2019","journal-title":"Neurosurg Focus"}],"container-title":["Frontiers in Surgery"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2026.1867301\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T05:56:42Z","timestamp":1786514202000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2026.1867301\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,12]]},"references-count":14,"alternative-id":["10.3389\/fsurg.2026.1867301"],"URL":"https:\/\/doi.org\/10.3389\/fsurg.2026.1867301","relation":{},"ISSN":["2296-875X"],"issn-type":[{"value":"2296-875X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,12]]},"article-number":"1867301"}}