Endovascular treatmentofrightsubclavian aneurysm in bovine aortic arch

Right subclavian aneurysm greater than 50mm in diameter in a patient with a bovine aortic arch. A selective digital angiography was performed as a complementary method to the CT angiography, confirming the diagnosis and complementing the necessary measurements. Successful endovascular treatment was performed by puncture of both common femoral arteries and left brachial artery, with 7 fr introducers achieving total angiographic control of the common trunk, making it possible to progress the aneurysmal neck only through the humeral approach. It was resolved satisfactorily by implanting two 7 x 39 and 6 x 29 VBX stent grafts. Agiographic control without signs of endoleak. Monitoring was carried out in the ICU 24 hours a day, transfer to the general ward 24 hours a day, with hospital discharge and control by outpatient clinics. Currently symptom free.