Emergent hybrid treatment strategy in a patient with impending rupture of descending aorta aneurysm, including an aberrant right subclavian artery orifice: A rare case report

In the treatment of elderly and high-risk patients with a descending aortic aneurysm, the hybrid approach emerges as a good alternative (1). In the cases of descending aortic aneurysm ruptures, the mortality and morbidity rates of the conventional surgery are high. Operation periods in this patient group are significantly reduced with the hybrid approach. For these reasons, to avoid conventional surgery in cases where there is no proper neck anatomy (especially proximal descending aortic aneurysm rupture), endovascular procedures are performed by providing an adequate neck after debranching of the aortic arch. Debranching can be performed with anatomic or extra-anatomic bypass methods (2). In this study, we aimed to present the case of a 70-year-old male patient with an aberrant right subclavian artery (SA) and impending descending aortic aneurysm rupture, including an aberrant right SA orifice treated at a hybrid operation theatre with right external carotid artery (ECA)–right SA bypass, left ECA–left SA bypass, and thoracic endovascular aortic repair (TEVAR)