Beschreibung:
<jats:title>Abstract</jats:title>
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<jats:title>Rationale:</jats:title>
<jats:p>Anatomical variations in aortic arch (AA) branching are not unusual. Generally, these variations are asymptomatic and are diagnosed incidentally. Here, we report a rare case of a middle-aged female patient with an aberrant right subclavian artery (ARSA) associated with anomalous origins of the bilateral vertebral arteries (VAs).</jats:p>
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<jats:title>Patient concerns:</jats:title>
<jats:p>The patient treated for urolithiasis complained of repeated dizziness for several years.</jats:p>
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<jats:title>Diagnoses:</jats:title>
<jats:p>Echocardiography and computed tomography angiography (CTA) confirmed arterial variations. Moreover, mild stenosis was found in the left common carotid artery (LCCA), which was considered to be the cause of dizziness.</jats:p>
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<jats:title>Interventions:</jats:title>
<jats:p>Congenital anomalous arteries were not necessary to intervene urgently, but aspirin and atorvastatin were administered to prevent potential thrombosis attributed to vascular stenosis after completing the operation for urolithiasis.</jats:p>
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<jats:title>Outcomes:</jats:title>
<jats:p>Whether the symptoms will be alleviated or not should be continuously followed up, and the patient may accept interventional therapy in the future if necessary.</jats:p>
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<jats:title>Lessons:</jats:title>
<jats:p>Here, we report the rare variation of AA branches and highlight the importance of preoperative vascular assessment in surgical or interventional procedures for the affected body regions.</jats:p>
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