A case of coarctation in a right aortic arch with an aneurysmal right subclavian artery and aberrant left brachiocephalic artery.

This is the second reported case of coarctation in a right aortic arch with an aberrant left brachiocephalic artery. In this patient, the right subclavian artery is aneurysmal, making this case unique. There is a pressure gradient of 34 mm Hg between ascending and descending aorta. Both the conventional and computed tomography angiographic images are presented. This is the first reported case to include imaging of this anatomy prior to surgery. It is also the first report of primary surgical management following a correct initial diagnosis.