Endovascular repair of a right-sided descending thoracic aortic aneurysm with a right-sided aortic arch and aberrant left subclavian artery

Ann Thorac Surg. 2008 Mar;85(3):1074-6. doi: 10.1016/j.athoracsur.2007.09.032.


Aneurysms involving a right-sided aortic arch and a right-sided descending thoracic aorta with an aberrant origin of the left subclavian artery are rare. We describe the successful surgical repair of this vascular anomaly by the combined use of a left carotid to subclavian artery bypass followed by endovascular stent-graft placement to exclude the aortic aneurysm. We also review the literature associated with this particular anatomic presentation.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Abnormalities, Multiple / surgery*
  • Aorta, Thoracic / abnormalities*
  • Aorta, Thoracic / surgery*
  • Aortic Aneurysm, Thoracic / complications*
  • Aortic Aneurysm, Thoracic / surgery*
  • Humans
  • Male
  • Middle Aged
  • Subclavian Artery / abnormalities*
  • Subclavian Artery / surgery*
  • Vascular Surgical Procedures / methods