title: Hybrid repair of a Kommerell diverticulum associated with a right aortic arch and a left descending aorta.
abstract: 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.
authors: Department of Cardiovascular Surgery, Keio University School of Medicine, Tokyo, Japan. hiroyukikawajiri607023@gmail.com
authors: Hiroyuki
authors: H
authors: Kawajiri
authors: Hideyuki
authors: H
authors: Shimizu
authors: Akihiro
authors: A
authors: Yoshitake
authors: Ryohei
authors: R
authors: Yozu
mesh_terms: D000368:Aged; D001018:Aortic Diseases / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D004240:Diverticulum / Q000150:complications* / Q000175:diagnosis / Q000601:surgery*; D057510:Endovascular Procedures / Q000379:methods*; D006801:Humans; D008297:Male; D011474:Prosthesis Design