Minimally invasive approach in symptomatic aberrant right subclavian artery treatment

INTRODUCTION AND IMPORTANCE: Anomalous right subclavian artery (ARSA) represents an uncommon anatomical deviation concerning the genesis of the right subclavian artery. As the predominant embryological irregularity of the aortic arch, it is clinically recognized as arteria lusoria (AL). CASE PRESENTATION: This study, describe the instance of a 22-year-old female exhibiting a non-aneurysmal, symptomatic anomalous right subclavian artery (ARSA) coursing posteriorly to the esophagus, as evidenced by thoracic computed tomography (CT) imaging. CLINICAL DISCUSSION: As an attractive option, a minimally invasive surgical method was used to treat the patient, and the anomalous vessel was closed from the closest location to its origin in the aortic arch during a short time thoracoscopic surgery. DISCUSSION, CONCLUSION: Compared to the common surgical methods to treat this anomaly, the complications and morbidity resulting from this method are much less and the length of stay in the hospital is shorter and the results are acceptable.