Hybrid repair of a Kommerell diverticulum associated with a

J. Vasc. Surg. · Dec 2012

Case Reports

Hybrid repair of a Kommerell diverticulum associated with a right aortic arch and a left descending aorta.

This report describes the first successful case of a hybrid endovascular approach for management of aneurysmal Kommerell diverticulum arising from the left descending aorta in a right aortic arch. This patient also had dilatation of the ascending aorta and a small aortic arch aneurysm. This three-step procedure consisted of (1) ascending aorta replacement with total debranching using a handmade quarto-branched composite graft; (2) endovascular exclusion of Kommerell diverticulum and the aortic arch aneurysm by covering the whole aortic arch; and (3) coil embolization against the root of the left subclavian artery. The patient had no complications at 16 months after completion.

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- Hiroyuki Kawajiri, Hideyuki Shimizu, Akihiro Yoshitake, and Ryohei Yozu.
- Department of Cardiovascular Surgery, Keio University School of Medicine, Tokyo, Japan. hiroyukikawajiri607023@gmail.com
- J. Vasc. Surg. 2012 Dec 1;56(6):1727-30.
AbstractThis report describes the first successful case of a hybrid endovascular approach for management of aneurysmal Kommerell diverticulum arising from the left descending aorta in a right aortic arch. This patient also had dilatation of the ascending aorta and a small aortic arch aneurysm. This three-step procedure consisted of (1) ascending aorta replacement with total debranching using a handmade quarto-branched composite graft; (2) endovascular exclusion of Kommerell diverticulum and the aortic arch aneurysm by covering the whole aortic arch; and (3) coil embolization against the root of the left subclavian artery. The patient had no complications at 16 months after completion.Copyright © 2012 Society for Vascular Surgery. Published by Mosby, Inc. All rights reserved.

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Hybrid repair of a Kommerell diverticulum associated with a right aortic arch and a left descending aorta.

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