Thoracic branch endoprosthesis repair of grade 3 blunt aortic injury in the setting of an aberrant retroesophageal right subclavian artery

Thoracic branch endoprosthesis (TBE) is a recent advancement in endovascular repair of aortic arch pathology, expanding options for the treatment of complex diseases that typically required open cervical debranching and thoracic endovascular aortic repair. 1 Yoon W.J. Mani K. Wanhainen A. Rodriguez V.M. Mell M.W. Anatomic feasibility of off-the-shelf thoracic single side-branched endograft in patients with blunt traumatic thoracic aortic injury. J Vasc Surg. 2021; 74: 1456-1463.e2 Abstract Full Text Full Text PDF PubMed Scopus (8) Google Scholar ,2 Dake M.D. Brinkman W.T. Han S.M. et al. Outcomes of endovascular repair of aortic aneurysms with the GORE thoracic branch endoprosthesis for left subclavian artery preservation. J Vasc Surg. 2022; 76: 1141-1149.e3 Abstract Full Text Full Text PDF PubMed Scopus (12) Google Scholar Variant anatomy and urgent presentations were beyond the scope of the initial study for device approval; however, TBE offers clear potential for decreasing morbidity, particularly in the critically ill polytrauma patient.