RESUMEN

Because of the high blood flow and high pressure, the aortic arch, which sends out 3 branches including the innominate artery that separates the right common carotid artery and the right subclavian artery, the left common carotid artery, and the left subclavian artery, is an important blood vessel supplying the brain and spinal cord, so the risk of aneurysms in this area is very high. The main risk is that the rupture can cause massive bleeding; the secondary is that some aortic arch lesions can cause insufficient blood supply to the brain or spinal cord. If early diagnosis can be detected, it could be treated completely with minimally invasive or open surgery. Therefore, especially for this kind of patient, the significance of treatment is great, and better results can be obtained through treatment. Here is a 48-year-old female patient with dysplasia of the distal aortic arch, multiple aortic parietal aneurysms, and abnormal origin of the left subclavian artery, which originates from the tortuous and twisted aorta.