Hybrid Repair of an Innominate Artery Pseudoaneurysm after Blunt Traumatic Injury in a Bovine Arch

Innominate artery injury is an uncommon consequence of blunt trauma to the neck due its protected position behind thorax. A 38-year-old male presented as a with right-sided pseudoaneurysm emanating from distal innominate after falling three-story building. On imaging, he also had bovine arch. He underwent hybrid repair covered stent placement common carotid into artery, carotid-subclavian bypass, and plugging subclavian artery. The patient recovered no cerebral insult, neurological deficits, or rupture. Post-traumatic pseudoaneurysms can successfully be repaired via surgical approach.