Abstract
Background An aberrant right subclavian artery (RSA) or arteria lusoria is the most common congenital
abnormality of the aortic arch with an incidence of 0.3 to 3.0%.
Case Description We report a case of a perforated aneurysmal aberrant RSA, managed using a hybrid
approach.
Conclusion In emergency cases with acute bleeding, we recommend an endovascular approach to
avoid the lethal sequel of arterial leakage. Whenever possible, the pulsatile blood
flow to the right arm should be restored. Management should be tailored to the nature
of the aneurysmal aberrant RSA, patient's comorbidities, and concomitant lesions.
Keywords
arteria lusoria - aberrant right subclavian artery - aneurysm
