A forty-one-year-old woman with a rare anomaly of the aortic arch complex is described. The case closely resembles a combination of right cervical aortic arch and right aortic arch with aberrant left subclavian artery with additional tortuous right-sided aortic arch struc tures, absent left common carotid artery, and right common carotid artery originating from the left side of the aortic arch.
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