{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T01:27:50Z","timestamp":1760059670637,"version":"build-2065373602"},"reference-count":7,"publisher":"MDPI AG","issue":"13","license":[{"start":{"date-parts":[[2025,6,30]],"date-time":"2025-06-30T00:00:00Z","timestamp":1751241600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diagnostics"],"abstract":"<jats:p>Here, we describe a case of an asymptomatic 73-year-old female patient who suffered from type A acute aortic dissection with epiaortic arteries involvement and underwent surgical operation 9 years ago. A follow-up color Doppler ultrasound revealed a right vertebral artery intermittent flow reversal due to innominate artery dissection. To our knowledge, no previous studies have reported this intermittent flow reversal; therefore, supra-aortic trunks should be considered among the possible causes of vertebral artery flow reversal.<\/jats:p>","DOI":"10.3390\/diagnostics15131668","type":"journal-article","created":{"date-parts":[[2025,6,30]],"date-time":"2025-06-30T06:18:36Z","timestamp":1751264316000},"page":"1668","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Right Vertebral Artery Intermittent Flow Reversal Due to Innominate Artery Dissection"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4630-1090","authenticated-orcid":false,"given":"Corrado","family":"Tagliati","sequence":"first","affiliation":[{"name":"AST Ancona, Ospedale di Comunit\u00e0 Maria Montessori di Chiaravalle, Via Fratelli Rosselli 176, 60033 Chiaravalle, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alessia","family":"Quaranta","sequence":"additional","affiliation":[{"name":"AST Macerata, Cardiologia, Distretto Sanitario di Civitanova Marche, Via Abruzzo, 62012 Civitanova Marche, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2993-5718","authenticated-orcid":false,"given":"Marco","family":"Fogante","sequence":"additional","affiliation":[{"name":"Maternal-Child, Senological, Cardiological Radiology and Outpatient Ultrasound, Department of Radiological Sciences, University Hospital of Marche, Via Conca 71, 60126 Ancona, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-2578-7523","authenticated-orcid":false,"given":"Stefania","family":"Lamja","sequence":"additional","affiliation":[{"name":"Department of Biotechnological and Applied Clinical Sciences, University of L\u2019Aquila, Via Vetoio, 67100 L\u2019Aquila, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alfonso Alberto","family":"Matarrese","sequence":"additional","affiliation":[{"name":"AST Ascoli Piceno, Cardiologia, Ospedale Mazzoni, Via degli Iris 1, 63100 Ascoli Piceno, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Davide","family":"Battista","sequence":"additional","affiliation":[{"name":"Department of Services, UOSD Radiology, San Liberatore Hospital, Viale Risorgimento, 64032 Atri, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3458-5468","authenticated-orcid":false,"given":"Giulio","family":"Cocco","sequence":"additional","affiliation":[{"name":"Department of Neuroscience, Imaging and Clinical Sciences, University \u201cG. d\u2019Annunzio\u201d, 66100 Chieti, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giuseppe","family":"Lanni","sequence":"additional","affiliation":[{"name":"Department of Services, UOSD Diagnostica per Immagini Teramo, Ospedale Civile Giuseppe Mazzini, Piazza Italia, 64100 Teramo, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alberto","family":"Rebonato","sequence":"additional","affiliation":[{"name":"AST Pesaro-Urbino, Radiologia, Ospedale San Salvatore, Piazzale Cinnelli 1, 61121 Pesaro, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabiola","family":"Principi","sequence":"additional","affiliation":[{"name":"AST Ancona, Radiologia, Ospedale Santa Casa di Loreto, via San Francesco 1, 60025 Loreto, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giulio","family":"Argalia","sequence":"additional","affiliation":[{"name":"Maternal-Child, Senological, Cardiological Radiology and Outpatient Ultrasound, Department of Radiological Sciences, University Hospital of Marche, Via Conca 71, 60126 Ancona, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6608-6252","authenticated-orcid":false,"given":"Antonio","family":"Corvino","sequence":"additional","affiliation":[{"name":"Medical, Movement and Wellbeing Sciences Department, University of Naples \u201cParthenope\u201d, 80133 Naples, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Iacopo","family":"Carbone","sequence":"additional","affiliation":[{"name":"Department of Radiological, Oncological and Pathological Sciences, Academic Diagnostic Imaging Division, I.C.O.T. Hospital, Sapienza University of Rome, Via F. Faggiana 1668, 04100 Latina, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0995-3081","authenticated-orcid":false,"given":"Ernesto","family":"Di Cesare","sequence":"additional","affiliation":[{"name":"Department of Biotechnological and Applied Clinical Sciences, University of L\u2019Aquila, Via Vetoio, 67100 L\u2019Aquila, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicol\u00f2","family":"Schicchi","sequence":"additional","affiliation":[{"name":"Maternal-Child, Senological, Cardiological Radiology and Outpatient Ultrasound, Department of Radiological Sciences, University Hospital of Marche, Via Conca 71, 60126 Ancona, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,6,30]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"635","DOI":"10.1177\/0218492320984329","article-title":"Type A aortic dissection: Involvement of carotid artery and impact on cerebral malperfusion","volume":"29","author":"Munir","year":"2021","journal-title":"Asian Cardiovasc. Thorac. Ann."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"967","DOI":"10.1002\/jcu.23741","article-title":"Aortic dissection: How to identify it during an abdominal ultrasound examination and achieve a potentially lifesaving diagnosis","volume":"52","author":"Corvino","year":"2024","journal-title":"J. Clin. Ultrasound"},{"key":"ref_3","doi-asserted-by":"crossref","unstructured":"Arslan, \u00dc., and Jalalzai, I. (2025). A Narrative Review of Biomarkers and Imaging in the Diagnosis of Acute Aortic Syndrome. Diagnostics, 15.","DOI":"10.3390\/diagnostics15020183"},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"di Gioia, C.R.T., Ascione, A., Carletti, R., and Giordano, C. (2023). Thoracic Aorta: Anatomy and Pathology. Diagnostics, 13.","DOI":"10.3390\/diagnostics13132166"},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Bacour, N., Grewal, S., Theijsse, R.T., Klautz, R.J.M., and Grewal, N. (2025). 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Surg."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"472","DOI":"10.1007\/s00234-003-0998-9","article-title":"Doppler sonograpy with dynamic testing in a case of aortic dissection extending to the innominate and right common carotid arteries","volume":"45","author":"Bonnin","year":"2003","journal-title":"Neuroradiology"}],"container-title":["Diagnostics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2075-4418\/15\/13\/1668\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T18:01:50Z","timestamp":1760032910000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2075-4418\/15\/13\/1668"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,30]]},"references-count":7,"journal-issue":{"issue":"13","published-online":{"date-parts":[[2025,7]]}},"alternative-id":["diagnostics15131668"],"URL":"https:\/\/doi.org\/10.3390\/diagnostics15131668","relation":{},"ISSN":["2075-4418"],"issn-type":[{"type":"electronic","value":"2075-4418"}],"subject":[],"published":{"date-parts":[[2025,6,30]]}}}