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Case Reports
Endovascular repair of ruptured aberrant left subclavian artery with right aortic arch.
- Manabu Motoki, Koji Hattori, Yasuyuki Kato, Yosuke Takahashi, Shinsuke Kotani, Shinsuke Nishimura, and Toshihiko Shibata.
- Department of Cardiovascular Surgery, Osaka City General Hospital, Osaka, Japan. m6984787@msic.med.osaka-cu.ac.jp.
- Ann. Thorac. Surg. 2013 Feb 1;95(2):699-701.
AbstractAssociation of a right-sided aortic arch with an aberrant left subclavian artery is rare. We present a case of successful endovascular repair of a ruptured Kommerell diverticulum associated with a right-sided aortic arch and aberrant left subclavian artery. We treated a 47-year-old woman with a diagnosis of ruptured aberrant left subclavian artery with thoracic endovascular stent-grafts. The descending aorta above Kommerell diverticulum was a reverse-tapered configuration. We managed the rather hostile neck with an extra-large Palmaz stent. A left carotid-to-subclavian bypass with an 8-mm Dacron graft was also performed to restore left arm perfusion and prevent vertebrobasilar insufficiency.Copyright © 2013 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.
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