Successful Endovascular Repair of a Kommerell’s Diverticulum and a Right-Sided Aortic Arch

Authors

  • Masato Hayakawa, MD Department of Cardiovascular Surgery, Chubu Tokushukai Hospital, Kitanakagusuku, Japan
  • Takaaki Nagano, MD Department of Thoracic and Cardiovascular Surgery Graduate School of Medicine, University of the Ryukyus, Nishihara, Japan
  • Isao Nishijima, MD Department of Cardiovascular Surgery, Nanbu Tokushukai Hospital, Yaese, Japan
  • Kento Shinzato, MD Department of Cardiovascular Surgery, Chubu Tokushukai Hospital, Kitanakagusuku, Japan
  • Ryo Ikemura, MD Department of Cardiovascular Surgery, Chubu Tokushukai Hospital, Kitanakagusuku, Japan
  • Kazufumi Miyagi, MD Department of Cardiovascular Surgery, Chubu Tokushukai Hospital, Kitanakagusuku, Japan
  • Kiyoshi Iha, MD, PhD Department of Cardiovascular Surgery, Chubu Tokushukai Hospital, Kitanakagusuku, Japan
  • Shigenobu Senaha, MD Department of Cardiovascular Surgery, Nanbu Tokushukai Hospital, Yaese, Japan
  • Mitsuyoshi Shimoji, MD Department of Cardiovascular Surgery, Nanbu Tokushukai Hospital, Yaese, Japan
  • Mitsuru Akasaki, MD Department of Cardiovascular Surgery, Nanbu Tokushukai Hospital, Yaese, Japan

DOI:

https://doi.org/10.1532/hsf.3267

Keywords:

thoracic endovascular aortic repair, Kommerell’s diverticulum, right-sided aortic arch

Abstract

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

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Published

2020-11-23

How to Cite

Hayakawa, M., Nagano, T., Nishijima, I., Shinzato, K., Ikemura, R., Miyagi, K., Iha, K., Senaha, S., Shimoji, M., & Akasaki, M. (2020). Successful Endovascular Repair of a Kommerell’s Diverticulum and a Right-Sided Aortic Arch. The Heart Surgery Forum, 23(6), E860-E862. https://doi.org/10.1532/hsf.3267

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