A right-sided aortic arch associated with an aberrant subclavian artery is a rare anomaly. Regardless, this condition is clinically relevant because mortality is associated with rupture, morbidity results from compression of mediastinal structures, and the surgery is complex. We describe the successful surgical repair of this vascular anomaly by totally debranching the neck vessels and placing an endovascular stent-graft to exclude the ruptured Kommerell’s diverticulum.
CinàCSAlthaniHPasenauJAbouzahrL. Kommerell’s diverticulum and right-sided aortic arch: A cohort study and review of the literature. J Vasc Surg2004; 39: 131–139.
2.
NaoumJJParentiJLLeMaireSACoselliJS. Endovascular repair of a right-sided descending thoracic aortic aneurysm with right-sided aortic arch and aberrant left subclavian artery. Ann Thorac Surg2008; 85: 1074–1076.
3.
ShufordWHSybersRGGordonIJBaronMGCarsonGC. Circumflex retroesophageal right aortic arch simulating mediastinal tumor or dissecting aneurysm. Am J Roentgenol1986; 146: 491–496.
4.
HastreiterARD’CruzIACantezT. Right-sided aorta. 1. Right-sided aorta. I. Occurrence of right aortic arch in various types of congenital heart disease. II. Right aortic arch, right descending aorta, and associated anomalies [Review]. Br Heart J1966; 28: 722–739.
5.
OberwalderPJBergmannPTillichMRiglerB. Aneurysm of a right-sided aortic arch and right descending aorta: three-dimensional volume rendering of multislice computed tomographic aortography facilitates surgical planning and management. J Thorac Cardiovasc Surg2005; 129: 953–954.
6.
AustinEHWolfeWG. Aneurysm of aberrant subclavian artery with a review of the literature. J Vasc Surg1985; 2: 571–577.
