Hybrid repair of aberrant right subclavian artery using open and endovascular techniques

Aberrant right subclavian artery, the most common anatomic variant of aortic arch, occurs in 0.5% population. Symptoms generally result from compression esophagus and/or trachea as aberrant vessel passes posteriorly mediastinum. Treatment includes revascularizing artery carotid using a cervical approach combined with occluding origin thoracic aorta. We describe hybrid treatment for symptomatic revascularization and branched stent graft coverage vessel.