Management of Traumatic Aortic Isthmus Rupture in Case of Aberrant Right Subclavian Artery (Arteria Lusoria)

Background To present an unusual case of blunt aortic injury in a 30-year-old male patient with an aberrant right subclavian artery. Methods and Results Driven by the complicated and challenging nature of the case, we decided to treat the patient by a combined approach—right subclavian artery transposition and endograft implantation at the isthmus level. During the 24-month follow-up (clinical examination, angiogram, computed tomographic scan), we registered no complaints; normal perfusion of the right arm; and adequate sealing of the aortic tear. Conclusions We believe that the hybrid management of such trauma is a feasible, effective, and less-invasive option.