{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T13:51:01Z","timestamp":1787320261034,"version":"build-2736575974"},"reference-count":75,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2025,1,10]],"date-time":"2025-01-10T00:00:00Z","timestamp":1736467200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Life"],"abstract":"<jats:p>Aortic arch anomalies represent a range of congenital vascular malformations resulting from disruptions in the typical embryological development of the aortic arch and its branches. These anomalies, which vary widely in their presentation, can lead to significant clinical symptoms depending on their structure and position. We report the case of a 75-year-old male with intermittent hypertension, palpitations, and episodic warmth in the upper body. Computed tomography (CT) angiography revealed an atypical aortic arch anatomy with a unique right subclavian artery anomaly. The aortic arch displayed a typical orientation but included an additional arterial branch arising from the medial wall of the descending aorta. This aberrant branch with a tortuous aspect coursed posteriorly around the esophagus and merged with the subclavian branch of the brachiocephalic trunk, forming a vascular ring. A possible embryological hypothesis requires the persistence of both the distal segment of the right dorsal aorta and the right seventh intersegmental artery, as well as the right fourth aortic arch; however, the imaging aspect of our patient is not that of a classic double aortic arch. This case emphasizes the importance of advanced imaging techniques, such as CT angiography, in identifying and managing rare vascular anomalies that may influence patient care and clinical outcomes.<\/jats:p>","DOI":"10.3390\/life15010077","type":"journal-article","created":{"date-parts":[[2025,1,10]],"date-time":"2025-01-10T06:25:54Z","timestamp":1736490354000},"page":"77","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Unique Subclavian Vascular Ring Anomaly: Insights from CT Angiography"],"prefix":"10.3390","volume":"15","author":[{"given":"Radu Octavian","family":"Baz","sequence":"first","affiliation":[{"name":"Clinical Laboratory of Radiology and Medical Imaging, \u201cSf. Apostol Andrei\u201d County Emergency Hospital, 900591 Constanta, Romania"},{"name":"Department of Radiology and Medical Imaging, Faculty of Medicine, \u201cOvidius\u201d University, 900527 Constanta, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mihaly","family":"Enyedi","sequence":"additional","affiliation":[{"name":"Department of Radiology, \u201cVictor Babes\u201d Center for Diagnosis and Treatment, 030303 Bucharest, Romania"},{"name":"Department of Anatomy, The \u201cCarol Davila\u201d University of Medicine and Pharmacy, 050474 Bucharest, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7676-6393","authenticated-orcid":false,"given":"Cristian","family":"Scheau","sequence":"additional","affiliation":[{"name":"Department of Radiology and Medical Imaging, \u201cFoisor\u201d Clinical Hospital of Orthopaedics, Traumatology and Osteoarticular TB, 021382 Bucharest, Romania"},{"name":"Department of Physiology, The \u201cCarol Davila\u201d University of Medicine and Pharmacy, 050474 Bucharest, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2915-5124","authenticated-orcid":false,"given":"Andreea Cristiana","family":"Didilescu","sequence":"additional","affiliation":[{"name":"Department of Embryology and Microbiology, Faculty of Dentistry, The \u201cCarol Davila\u201d University of Medicine and Pharmacy, 8 Eroii Sanitari Boulevard, 050474 Bucharest, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Radu Andrei","family":"Baz","sequence":"additional","affiliation":[{"name":"Clinical Laboratory of Radiology and Medical Imaging, \u201cSf. Apostol Andrei\u201d County Emergency Hospital, 900591 Constanta, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cosmin","family":"Niscoveanu","sequence":"additional","affiliation":[{"name":"Clinical Laboratory of Radiology and Medical Imaging, \u201cSf. Apostol Andrei\u201d County Emergency Hospital, 900591 Constanta, Romania"},{"name":"Department of Radiology and Medical Imaging, Faculty of Medicine, \u201cOvidius\u201d University, 900527 Constanta, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,1,10]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1097\/RTI.0b013e318218923c","article-title":"Embryology and imaging review of aortic arch anomalies","volume":"27","author":"Stojanovska","year":"2012","journal-title":"J. Thorac. Imaging"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"67","DOI":"10.2214\/ajr.109.1.67","article-title":"The three types of right aortic arch","volume":"109","author":"Shuford","year":"1970","journal-title":"Am. J. Roentgenol. Radium Ther. Nucl. Med."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"1807","DOI":"10.1007\/s11845-022-03196-3","article-title":"Anatomical variation in the branching pattern of the aortic arch: A literature review","volume":"192","author":"Murray","year":"2023","journal-title":"Ir. J. Med. Sci."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"564","DOI":"10.1111\/joa.13890","article-title":"A revised terminology for the pharyngeal arches and the arch arteries","volume":"243","author":"Graham","year":"2023","journal-title":"J. Anat."},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Dieter, R.S., Dieter Jr, R.A., and Dieter Iii, R.A. (2019). Embryology and Anatomy of the Aorta. Diseases of the Aorta, Springer International Publishing.","DOI":"10.1007\/978-3-030-11322-3"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1111\/dgd.12010","article-title":"Dorsal aorta formation: Separate origins, lateral-to-medial migration, and remodeling","volume":"55","author":"Sato","year":"2013","journal-title":"Dev. Growth Differ."},{"key":"ref_7","unstructured":"Khalid, N., and Bordoni, B. (2024). Embryology, Great Vessel. StatPearls, StatPearls Publishing."},{"key":"ref_8","first-page":"20150429","article-title":"Bilateral variant origin of subclavian artery branches","volume":"2","author":"Panakkal","year":"2016","journal-title":"BJR Case Rep."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"S308","DOI":"10.1016\/S0003-4975(99)01279-5","article-title":"Congenital Heart Surgery Nomenclature and Database Project: Vascular rings, tracheal stenosis, pectus excavatum","volume":"69","author":"Backer","year":"2000","journal-title":"Ann. Thorac. Surg."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"1495","DOI":"10.1007\/s11886-022-01764-8","article-title":"Rings and Slings: Not Such Simple Things","volume":"24","author":"Mitchell","year":"2022","journal-title":"Curr. Cardiol. Rep."},{"key":"ref_11","unstructured":"Sadler, T.W. (2018). Langman\u2019s Medical Embryology, 13e, Lippincott Williams & Wilkins."},{"key":"ref_12","unstructured":"Carlson, B.M. (2018). Human Embryology and Developmental Biology-Inkling Enhanced E-Book, Elsevier Health Sciences."},{"key":"ref_13","unstructured":"Sahni, D., and Franklin, W.H. (2024). Vascular Ring Double Aortic Arch. StatPearls, StatPearls Publishing."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"151128","DOI":"10.1016\/j.sempedsurg.2021.151128","article-title":"Vascular rings","volume":"30","author":"Worhunsky","year":"2021","journal-title":"Semin. Pediatr. Surg."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1148\/rg.2017160033","article-title":"Congenital Variants and Anomalies of the Aortic Arch","volume":"37","author":"Hanneman","year":"2017","journal-title":"Radiographics"},{"key":"ref_16","first-page":"300","article-title":"A new proposal for the classification of the right aortic arch","volume":"48","author":"Anzai","year":"1987","journal-title":"J. Jpn. Pract. Surg. Soc."},{"key":"ref_17","first-page":"1","article-title":"Vascular rings related to anomalies of the aortic arches","volume":"17","author":"Edwards","year":"1948","journal-title":"Mod. Concepts Cardiovasc. Dis."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"979","DOI":"10.1016\/S0039-6109(16)34637-0","article-title":"Vascular rings produced by anomalies of the aortic-arch system","volume":"35","author":"Ellis","year":"1955","journal-title":"Surg. Clin. N. Am."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1259\/0007-1285-46-542-115","article-title":"Right aortic arch with mirror-image branching causing vascular ring. A new classification of the right aortic arch patterns","volume":"46","author":"Garti","year":"1973","journal-title":"Br. J. Radiol."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"11","DOI":"10.4103\/JASI.JASI_129_20","article-title":"Aberrant Right Subclavian Artery: A Multi-Detector Computed Tomography Study","volume":"70","author":"Gupta","year":"2021","journal-title":"J. Anat. Soc. India"},{"key":"ref_21","first-page":"647","article-title":"Collateral blood flow patterns in patients with unilateral ICA agenesis and cerebral aneurysm","volume":"28","author":"Jamous","year":"2007","journal-title":"Neuro Endocrinol. Lett."},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Kochhan, E., Lenard, A., Ellertsdottir, E., Herwig, L., Affolter, M., Belting, H.G., and Siekmann, A.F. (2013). Blood flow changes coincide with cellular rearrangements during blood vessel pruning in zebrafish embryos. PLoS ONE, 8.","DOI":"10.1371\/journal.pone.0075060"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"H632","DOI":"10.1152\/ajpheart.00641.2016","article-title":"Blood flow patterns underlie developmental heart defects","volume":"312","author":"Midgett","year":"2017","journal-title":"Am. J. Physiol. Heart Circ. Physiol."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"1028","DOI":"10.1016\/j.semcdb.2011.09.020","article-title":"The initiation of blood flow and flow induced events in early vascular development","volume":"22","author":"Jones","year":"2011","journal-title":"Semin. Cell Dev. Biol."},{"key":"ref_25","doi-asserted-by":"crossref","unstructured":"Kowalski, W.J., Dur, O., Wang, Y., Patrick, M.J., Tinney, J.P., Keller, B.B., and Pekkan, K. (2013). Critical transitions in early embryonic aortic arch patterning and hemodynamics. PLoS ONE, 8.","DOI":"10.1371\/journal.pone.0060271"},{"key":"ref_26","first-page":"304","article-title":"Buhler\u2019s Arc: An Unexpected Finding in a Case of Chronic Abdominal Pain","volume":"29","author":"Baz","year":"2020","journal-title":"J. Gastrointest. Liver Dis."},{"key":"ref_27","doi-asserted-by":"crossref","unstructured":"Kunimoto, K., Yamamoto, Y., and Jinnin, M. (2022). ISSVA Classification of Vascular Anomalies and Molecular Biology. Int. J. Mol. Sci., 23.","DOI":"10.3390\/ijms23042358"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"112","DOI":"10.3892\/etm.2021.11035","article-title":"Morphometric study regarding ophthalmic and internal carotid arteries utilizing computed tomography angiography","volume":"23","author":"Baz","year":"2022","journal-title":"Exp. Ther. Med."},{"key":"ref_29","doi-asserted-by":"crossref","unstructured":"Olinic, D.M., and Stanek, A. (2023). Vascular Diseases: Etiologic, Diagnostic, Prognostic, and Therapeutic Research. Life, 13.","DOI":"10.3390\/life13051171"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"454","DOI":"10.1177\/2150135118771323","article-title":"Digital Design and 3D Printing of Aortic Arch Reconstruction in HLHS for Surgical Simulation and Training","volume":"9","author":"Chen","year":"2018","journal-title":"World J. Pediatr. Congenit. Heart Surg."},{"key":"ref_31","doi-asserted-by":"crossref","unstructured":"Timofticiuc, I.-A., C\u0103linescu, O., Iftime, A., Dragosloveanu, S., Caruntu, A., Scheau, A.-E., Badarau, I.A., Didilescu, A.C., Caruntu, C., and Scheau, C. (2024). Biomaterials Adapted to Vat Photopolymerization in 3D Printing: Characteristics and Medical Applications. J. Funct. Biomater., 15.","DOI":"10.3390\/jfb15120383"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"418","DOI":"10.23736\/S0392-9590.19.04148-8","article-title":"Trends in use of 3D printing in vascular surgery: A survey","volume":"38","author":"Marti","year":"2019","journal-title":"Int. Angiol."},{"key":"ref_33","doi-asserted-by":"crossref","unstructured":"Periferakis, A., Periferakis, A.-T., Troumpata, L., Dragosloveanu, S., Timofticiuc, I.-A., Georgatos-Garcia, S., Scheau, A.-E., Periferakis, K., Caruntu, A., and Badarau, I.A. (2024). Use of Biomaterials in 3D Printing as a Solution to Microbial Infections in Arthroplasty and Osseous Reconstruction. Biomimetics, 9.","DOI":"10.3390\/biomimetics9030154"},{"key":"ref_34","doi-asserted-by":"crossref","unstructured":"Wang, Z., and Yang, Y. (2021). Application of 3D Printing in Implantable Medical Devices. BioMed Res. Int., 2021.","DOI":"10.1155\/2021\/6653967"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"417","DOI":"10.1007\/s10561-021-09975-z","article-title":"From 3D printing to 3D bioprinting: The material properties of polymeric material and its derived bioink for achieving tissue specific architectures","volume":"23","author":"Vrana","year":"2022","journal-title":"Cell Tissue Bank."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"731","DOI":"10.3892\/etm.2021.10163","article-title":"Preclinical study analysis of massive magnesium alloy graft for calcaneal fractures","volume":"22","author":"Dragosloveanu","year":"2021","journal-title":"Exp. Ther. Med."},{"key":"ref_37","doi-asserted-by":"crossref","unstructured":"Frisch, E., Clavier, L., Belhamdi, A., Vrana, N.E., Lavalle, P., Frisch, B., Heurtault, B., and Gribova, V. (2023). Preclinical in vitro evaluation of implantable materials: Conventional approaches, new models and future directions. Front. Bioeng. Biotechnol., 11.","DOI":"10.3389\/fbioe.2023.1193204"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1146\/annurev-chembioeng-060718-030133","article-title":"Colloidal Materials for 3D Printing","volume":"10","author":"Zhu","year":"2019","journal-title":"Annu. Rev. Chem. Biomol. Eng."},{"key":"ref_39","first-page":"329547","article-title":"Prenatal diagnosis of down syndrome associated with right aortic arch and dilated septum cavi pellucidi","volume":"2012","year":"2012","journal-title":"Case Rep. Obs. Gynecol."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1016\/j.rcl.2018.08.008","article-title":"Congenital Thoracic Aortic Disease","volume":"57","author":"Landeras","year":"2019","journal-title":"Radiol. Clin. N. Am."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"719","DOI":"10.5114\/aoms.2020.98971","article-title":"Predictive value of ultrasound diagnosis of aberrant right subclavian artery with non-recurrent laryngeal nerve","volume":"20","author":"Liang","year":"2024","journal-title":"Arch. Med. Sci."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"560","DOI":"10.5603\/FM.a2016.0025","article-title":"Three concurrent variations of the aberrant right subclavian artery, the non-recurrent laryngeal nerve and the right thoracic duct","volume":"75","author":"Lee","year":"2016","journal-title":"Folia Morphol."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1016\/j.jtcvs.2021.08.089","article-title":"Reoperation to correct unsuccessful vascular ring and vascular decompression surgery","volume":"164","author":"Labuz","year":"2022","journal-title":"J. Thorac. Cardiovasc. Surg."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"1151","DOI":"10.1007\/s00595-019-01907-5","article-title":"Congenital vascular ring","volume":"50","author":"Yoshimura","year":"2020","journal-title":"Surg. Today"},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1053\/j.pcsu.2020.02.004","article-title":"Vascular Rings With Tracheoesophageal Compression: Management Considerations","volume":"23","author":"Backer","year":"2020","journal-title":"Semin. Thorac. Cardiovasc. Surg. Annu. Pediatr. Card. Surg. Annu."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"511","DOI":"10.1002\/ppul.23152","article-title":"Congenital vascular rings: A clinical challenge for the pediatrician","volume":"50","author":"Licari","year":"2015","journal-title":"Pediatr. Pulmonol."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"336","DOI":"10.1007\/s11748-018-0962-6","article-title":"Successful surgical treatment with tracheal resection for a symptomatic vascular ring in an adult","volume":"67","author":"Imanishi","year":"2019","journal-title":"Gen. Thorac. Cardiovasc. Surg."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"796","DOI":"10.1016\/j.jtcvs.2020.03.158","article-title":"Aortic uncrossing and tracheobronchopexy corrects tracheal compression and tracheobronchomalacia associated with circumflex aortic arch","volume":"160","author":"Kamran","year":"2020","journal-title":"J. Thorac. Cardiovasc. Surg."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"2050313x221123432","DOI":"10.1177\/2050313X221123432","article-title":"Thoracic endovascular aortic repair for chronic aortic dissection after total arch replacement for aberrant right subclavian artery: A case report","volume":"10","author":"Nakamura","year":"2022","journal-title":"SAGE Open Med. Case Rep."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"ivac100","DOI":"10.1093\/icvts\/ivac100","article-title":"Type A aortic dissection repair with a dissection stent in presence of aberrant subclavian artery","volume":"35","author":"Salem","year":"2022","journal-title":"Interact. Cardiovasc. Thorac. Surg."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"231","DOI":"10.4250\/jcvi.2022.0058","article-title":"Aortic Arch Variants and Anomalies: Embryology, Imaging Findings, and Clinical Considerations","volume":"30","author":"Bae","year":"2022","journal-title":"J. Cardiovasc. Imaging"},{"key":"ref_52","doi-asserted-by":"crossref","unstructured":"Schorn, C., Hildebrandt, N., Schneider, M., and Schaub, S. (2021). Anomalies of the aortic arch in dogs: Evaluation with the use of multidetector computed tomography angiography and proposal of an extended classification scheme. BMC Vet. Res., 17.","DOI":"10.1186\/s12917-021-03101-7"},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"882","DOI":"10.1016\/0003-4975(92)91459-M","article-title":"Vascular ring: Does magnetic resonance imaging replace angiography?","volume":"53","author":"Azarow","year":"1992","journal-title":"Ann. Thorac. Surg."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"1583","DOI":"10.2214\/ajr.171.6.9843292","article-title":"The right inferior supraazygous recess: A cause of upper esophageal pseudomass on double-contrast esophagography","volume":"171","author":"Sam","year":"1998","journal-title":"AJR Am. J. Roentgenol."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"1839","DOI":"10.1007\/s00247-022-05366-y","article-title":"Computed tomography and magnetic resonance imaging of vascular rings and other things: A pictorial review","volume":"52","author":"Madueme","year":"2022","journal-title":"Pediatr. Radiol."},{"key":"ref_56","doi-asserted-by":"crossref","unstructured":"Fern\u00e1ndez-Marmiesse, A., Roca, I., D\u00edaz-Flores, F., Cantar\u00edn, V., P\u00e9rez-Poyato, M.S., Fontalba, A., Laranjeira, F., Quintans, S., Moldovan, O., and Felgueroso, B. (2019). Rare Variants in 48 Genes Account for 42% of Cases of Epilepsy With or Without Neurodevelopmental Delay in 246 Pediatric Patients. Front. Neurosci., 13.","DOI":"10.3389\/fnins.2019.01135"},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"228","DOI":"10.1002\/ajmg.a.61928","article-title":"Variants in NAA15 cause pediatric hypertrophic cardiomyopathy","volume":"185","author":"Ritter","year":"2021","journal-title":"Am. J. Med. Genet. Part A"},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"3547","DOI":"10.1007\/s10792-020-01544-9","article-title":"Comparison of 360\u00b0 circumferential trabeculotomy and conventional trabeculotomy in primary pediatric glaucoma surgery: Complications, reinterventions and preoperative predictive risk factors","volume":"40","author":"Dragosloveanu","year":"2020","journal-title":"Int. Ophthalmol."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"489","DOI":"10.1177\/15910199211039924","article-title":"Aortic arch anomalies, embryology and their relevance in neuro-interventional surgery and stroke: A review","volume":"28","author":"Mantri","year":"2022","journal-title":"Interv. Neuroradiol."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"1553","DOI":"10.1017\/S1047951116001670","article-title":"Echocardiography of coarctation of the aorta, aortic arch hypoplasia, and arch interruption: Strategies for evaluation of the aortic arch","volume":"26","author":"Goudar","year":"2016","journal-title":"Cardiol. Young"},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"e223224","DOI":"10.1148\/radiol.223224","article-title":"Fetal Cardiac MRI of Complex Interrupted Aortic Arch","volume":"307","author":"Vollbrecht","year":"2023","journal-title":"Radiology"},{"key":"ref_62","doi-asserted-by":"crossref","unstructured":"Loose, S., Solou, D., Strecker, C., Hennemuth, A., H\u00fcllebrand, M., Grundmann, S., Asmussen, A., Treppner, M., Urbach, H., and Harloff, A. (2023). Characterization of aortic aging using 3D multi-parametric MRI-long-term follow-up in a population study. Sci. Rep., 13.","DOI":"10.1038\/s41598-023-33219-7"},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"1032","DOI":"10.1007\/s00380-017-0979-2","article-title":"Validation of numerical simulation methods in aortic arch using 4D Flow MRI","volume":"32","author":"Miyazaki","year":"2017","journal-title":"Heart Vessel."},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"1279","DOI":"10.1016\/j.jacc.2024.05.078","article-title":"Outcomes of Patients Undergoing Surgery for Complete Vascular Rings","volume":"84","author":"Gikandi","year":"2024","journal-title":"J. Am. Coll. Cardiol."},{"key":"ref_65","doi-asserted-by":"crossref","unstructured":"Dragosloveanu, S., Petre, M.-A., Capitanu, B.S., Dragosloveanu, C.D.M., Cergan, R., and Scheau, C. (2023). Initial Learning Curve for Robot-Assisted Total Knee Arthroplasty in a Dedicated Orthopedics Center. J. Clin. Med., 12.","DOI":"10.3390\/jcm12216950"},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1053\/j.semvascsurg.2021.10.007","article-title":"Review and current update of robotic-assisted laparoscopic vascular surgery","volume":"34","author":"Dorosh","year":"2021","journal-title":"Semin. Vasc. Surg."},{"key":"ref_67","first-page":"375","article-title":"Unique robotic vascular surgery procedures","volume":"101","year":"2022","journal-title":"Rozhl. Chir."},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"689","DOI":"10.1007\/s11701-018-00917-8","article-title":"Exploration of robotic-assisted surgical techniques in vascular surgery","volume":"13","author":"Miller","year":"2019","journal-title":"J. Robot. Surg."},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"1586","DOI":"10.1016\/j.jtcvs.2015.02.019","article-title":"Atypical aortic arch branching variants: A novel marker for thoracic aortic disease","volume":"149","author":"Dumfarth","year":"2015","journal-title":"J. Thorac. Cardiovasc. Surg."},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"159","DOI":"10.4274\/balkanmedj.galenos.2021.2021-10-90","article-title":"Congenital Cervical Aortic Arch Accompanying Aortic Arch Aneurysm: A Case Report","volume":"39","author":"Fan","year":"2022","journal-title":"Balk. Med. J."},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"1593","DOI":"10.1016\/j.jtcvs.2015.02.032","article-title":"Another link between aortopathy and congenital anomaly?","volume":"149","author":"Takayama","year":"2015","journal-title":"J. Thorac. Cardiovasc. Surg."},{"key":"ref_72","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1053\/j.pcsu.2022.12.006","article-title":"Strategies for Complex Reoperative Aortic Arch Reconstruction in Patients With Congenital Heart Disease","volume":"26","author":"Frankel","year":"2023","journal-title":"Semin. Thorac. Cardiovasc. Surg. Annu. Pediatr. Card. Surg. Annu."},{"key":"ref_73","doi-asserted-by":"crossref","unstructured":"de Marvao, A., Dawes, T.J.W., and O\u2019Regan, D.P. (2019). Artificial Intelligence for Cardiac Imaging-Genetics Research. Front. Cardiovasc. Med., 6.","DOI":"10.3389\/fcvm.2019.00195"},{"key":"ref_74","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1186\/s12968-016-0246-1","article-title":"Extra-cardiac findings in cardiovascular magnetic resonance: What the imaging cardiologist needs to know","volume":"18","author":"Rodrigues","year":"2016","journal-title":"J. Cardiovasc. Magn. Reson."},{"key":"ref_75","doi-asserted-by":"crossref","first-page":"2034","DOI":"10.1016\/j.jacc.2023.08.012","article-title":"Management of Adults With Anomalous Aortic Origin of the Coronary Arteries: State-of-the-Art Review","volume":"82","author":"Gaudino","year":"2023","journal-title":"J. Am. Coll. 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