title: Management of traumatic aortic isthmus rupture in case of aberrant right subclavian artery (arteria lusoria).
abstract: BACKGROUND
  To present an unusual case of blunt aortic injury in a 30-year-old male patient with an aberrant right subclavian artery.
  
  
  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.
authors.affiliation: First Department of Surgery and Vascular Surgery, Papageorgiou General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece. kirktenidis@gmail.com
authors.forename: Kiriakos
authors.initials: K
authors.lastname: Ktenidis
authors.forename: Athanasios
authors.initials: A
authors.lastname: Lioupis
authors.forename: Argirios
authors.initials: A
authors.lastname: Giannopoulos
authors.forename: George
authors.initials: G
authors.lastname: Ginis
authors.forename: Dimitrios
authors.initials: D
authors.lastname: Kiskinis
mesh_terms: D000328:Adult; D000783:Aneurysm / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D015901:Angiography, Digital Subtraction; D001019:Aortic Rupture / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D018376:Cardiovascular Abnormalities / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D003680:Deglutition Disorders / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D057510:Endovascular Procedures / Q000295:instrumentation; D006801:Humans; D008297:Male; D011474:Prosthesis Design; D015607:Stents; D013348:Subclavian Artery / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D057772:Vascular System Injuries / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*; D014949:Wounds, Nonpenetrating / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*