Successful Endovascular Repair of a Kommerell’s Diverticulum and a Right-Sided Aortic Arch
DOI:
https://doi.org/10.1532/hsf.3267Keywords:
thoracic endovascular aortic repair, Kommerell’s diverticulum, right-sided aortic archAbstract
Background: A 57-year-old woman was diagnosed with Kommerell’s diverticulum in the setting of a right aortic arch on computed tomography.
Case report: Although asymptomatic, the maximum diameter of the aneurysm was 55 mm; thus, she underwent surgery to prevent rupture of the aneurysm. A bypass was constructed from the left common carotid artery to the left subclavian artery. A stent-graft was deployed from the distal right subclavian artery, and coil embolization of the diverticulum was performed via the left subclavian artery. She was discharged after 12 days of surgery. The postoperative four-month follow up showed a smaller aneurysm.
Conclusion: Thoracic endovascular aortic repair is feasible and effective for Kommerell’s diverticulum.
References
Cina CS, Althani H, Pasenau J, et al. 2004. Kommerell’s diverticulum and right-sided aortic arch: a cohort study and review of the literature. J Vasc Surg 39:131-9.
Kazuno K, Murata S. 2017. Endovascular repair for Kommerell’s diverticulum and right-sided aortic arch. Ann Vasc Dis 10:48-50.
Kim KM, Cambria RP, Isselbacher EM, et al. 2014. Comtemporary surgical approaches and outcomes in adults with Kommerell diverticulum. Ann Thorac Surg 98:1347-54.
Kommerell B. 1936. Verlagerung des Oesophagus durch eine abnorm verlaufende Arteria subclavia dextra (Arteria lusoria). Fortschr Geb Roentgenstrahlen 54:590-5.
Kouchoukos NT, Masetti P. 2007. Aberrant subclavian artery and Kommerell aneurysm: Surgical treatment with a standard approach. J Thorac Cardiovasc Surg 133:888-92.
Mariani C, Weijde E, Smith T, et al. 2019. The GORE TAG conformable thoracic stent graft with the new ACTIVE CONTROL deployment system. J Vasc Surg 70:432-7.
Nonaka M, An K, Nakatsuka D, et al. 2014. Hybrid procedure for a Kommerell’s diverticulum in a right-sided aortic arch. Ann Thorac Cardiovasc Surg Supplement: 821-4.
Onohara T, Nakamura Y, Kishimoto Y, et al. 2014. Two cases of thoracic aortic aneurysm with right aortic arch: comparison of two operative strategies for hybrid thoracic endovascular repair. Ann Vasc Dis 7:343-6.
Ota T, Okada K, Takanashi S, et al. 2006. Surgical treatment for Kommerell’s diverticulum. J Thorac Cardiovasc Surg 131:574-8.
Tsukabe T, Ataka K, Sakata M, et al. 2001. Surgical treatment of an aneurysm in the right aortic arch with aberrant left subclavian artery. Ann Thorac Surg 71:1710-1.
