Surgical and endovascular treatment of thoracic aortic dissection combined with aberrant right subclavian artery aneurysm

Aortic dissection combined with aberrant right subclavian artery (ARSA) is very rare. The endovascular treatment of aortic dissection is less invasive than conventional open-heart surgery because of lower surgical risk and faster recovery. In the present work, the origin of ARSA was dilated, and the aorta was also dissected down to the abdominal aorta. The aortic true lumen became narrow, but the visceral arteries had good perfusion. The patient was treated on the entry of dissection with endovascular isolation and adjunctive surgical bypass after controlling blood pressure for 2 weeks.