A rare case of an aneurysmal Kommerell's diverticulum in a right-sided aortic arch was successfully treated using a hybrid procedure comprising total arch replacement and percutaneous stent grafting. A 65-year-old man with dysphagia was diagnosed with an ectatic right-sided aortic arch and a saccular aneurysm of the Kommerell's diverticulum. Since its radical resection during a single surgery was unfeasible because of its complex configuration, a 2-stage procedure was adopted.
Michihito Nonaka, Kenta An, Daisuke Nakatsuka, Tatsuji Okada, Yuji Sekine, Atsushi Iwakura, and Kazuo Yamanaka.
Department of Cardiovascular Surgery, Tenri Hospital, Nara, Japan.
Ann Thorac Cardiovasc Surg. 2014 Jan 1;20 Suppl:821-4.
AbstractA rare case of an aneurysmal Kommerell's diverticulum in a right-sided aortic arch was successfully treated using a hybrid procedure comprising total arch replacement and percutaneous stent grafting. A 65-year-old man with dysphagia was diagnosed with an ectatic right-sided aortic arch and a saccular aneurysm of the Kommerell's diverticulum. Since its radical resection during a single surgery was unfeasible because of its complex configuration, a 2-stage procedure was adopted.