title: Successful endovascular repair of an aneurysm of the ductus diverticulum with a branched stent graft: case report and review of literature.
abstract: Aneurysm of the ductus diverticulum rarely has been reported in adults, and the reported aneurysms were treated with conventional open surgery or were diagnosed at autopsy. We report a successful endovascular repair of an aneurysm of the ductus diverticulum with the Inoue branched stent graft. In a 78-year-old woman, an abnormal shadow was noted at the aortopulmonary window on a chest x-ray film. A computed tomography scan demonstrated a 3.8-cm saccular aneurysm, which protruded inferiorly from the distal end of the aortic arch. The aneurysm was considered an aneurysm of the ductus diverticulum, and surgery was required. However, the patient was considered at high risk for respiratory dysfunction with conventional open surgery. Endovascular repair with an Inoue single-branched stent graft was performed with the patient under local anesthesia, successfully and without complication or endoleak. To our knowledge, this is the first report of endovascular treatment of an aneurysm of the ductus diverticulum.
authors.affiliation: Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Japan. naritatu@kyoto-u.ac.jp
authors.forename: Naritatsu
authors.initials: N
authors.lastname: Saito
authors.forename: Takeshi
authors.initials: T
authors.lastname: Kimura
authors.forename: Masanao
authors.initials: M
authors.lastname: Toma
authors.forename: Masakazu
authors.initials: M
authors.lastname: Teragaki
authors.forename: Hiroyoshi
authors.initials: H
authors.lastname: Minaminimura
authors.forename: Toru
authors.initials: T
authors.lastname: Kita
authors.forename: Kanji
authors.initials: K
authors.lastname: Inoue
mesh_terms: D000368:Aged; D000783:Aneurysm / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation*; D002404:Catheterization; D004240:Diverticulum / Q000601:surgery; D004373:Ductus Arteriosus / Q000601:surgery*; D005260:Female; D006801:Humans; D015607:Stents; D016896:Treatment Outcome