A Rare Penetrating Injury to an Aberrant Right Subclavian Artery and the Turbulent Course of Endovascular Repair

Penetrating neck trauma carries high morbidity and mortality due to the involvement of major vascular structures and anatomical complexity. A penetrating injury to an aberrant right subclavian artery (ARSA) is very rare and presents unique management challenges. This case details a 27-year-old male patient with a gunshot wound which resulted in esophageal injury and ARSA pseudoaneurysm. Following endovascular repair of the ARSA pseudoaneurysm, the clinical course was complicated by several events, some related to the stents and others unrelated to them.