Chronic type B aortic dissection with the right aortic arch was rare. We present the case of a 59-year-old man with a right aortic arch and chronic type B aortic dissection, with a maximum size of 80 mm. Graft replacement was successfully performed through right anterolateral thoracotomy with partial sternotomy through the fourth intercostal space. The patient's postoperative course was uneventful. He had no paralysis and was extubated on postoperative day 2 and discharged from the hospital on postoperative day 15. Anterolateral thoracotomy with partial sternotomy could be a suitable approach for right-sided aortic aneurysms.

A 76-year-old female was had dyspnea on effort and was diagnosed with pulmonary thromboembolism. She had pulmonary thromboembolism and deep vein thrombosis on computed tomography, and inferior vena cava (IVC) filter was placed. 10 days after IVC filter implantation, she suffered from low back pain. Computed tomography showed a retroperitoneal hematoma. Angiography was performed emergently and demonstrated a pseudoaneurysm at the fourth lumbar artery. Embolization of the lumbar artery was performed with coils. Lumbar artery pseudoaneurysm due to IVC filter implantation is a rare, but it is important to recognize the possibility of that complication.

Anomalous aortic origin of the right coronary artery is a rare disease. Although there are various reports on its treatment, the method of the surgical approach is still controversial. Here, we present a rare case of a 17 year-old man who had an anomalous aortic origin of the right coronary artery with an aberrant right subclavian artery. As a treatment, he underwent reimplantation of the right coronary artery. The surgical approach for the anomalous aortic origin of the right coronary artery should be selected by considering the age of the patient and size of the right coronary artery.