Total Arch Replacement for Chronic Aortic Aneurysmal Dissection Patient with Aberrant Subclavian Artery

The aberrant subclavian artery is a rare vascular malformation, the aberrant vessel may arise from the proximal descending aorta. Reports of aortic dissection or aortic aneurysm in patients with aberrant subclavian artery have been reported to be rare. Author report a successful total aortic arch replacement under selective antegrade brain perfusion using an occlusion catheter rather than right axillary artery cannulation in a patient with chronic aortic aneurysmal dissection with aberrant subclavian artery.