Endovascular Repair of Right-Sided Aortic Arch Aneurysm

Background: Congenital anomalies in the thoracic aorta, although rare, can present challenging clinical scenarios. Current literature suggests that an aberrant aortic anatomy may be associated with higher rates of aneurysm formation; however, specific screening and management guidelines have yet to be established. Case: This report presents a case of a 61-year-old male who experienced progressive dysphagia and was diagnosed with an aberrant right-sided aortic arch accompanied by a 5.8 cm descending thoracic aortic aneurysm. Successful endovascular repair was performed with no postoperative complications. Conclusion: Endovascular repair may be a successful treatment option for these patients, although further studies with long-term follow-up are needed.