title: Total endovascular repair of aberrant left subclavian artery with Kommerell's diverticulum using a customized branched device.
abstract: We describe a case of Kommerell's diverticulum involving the distal portion of a right-sided aortic arch and the origin of an aberrant left subclavian artery (LSA). The patient underwent a total endovascular repair with the use of a modified Valiant endograft (Medtronic, Minneapolis, Minn) to which a branch was attached to keep LSA patency. Postoperative computed tomography showed complete exclusion of the lesion, without endoleaks. The use of "customized off-label" devices to treat special conditions was feasible in this case, keeping patency of the LSA without risk of arm claudication or the requirement for a complementary surgical bypass.
authors: Universidade Federal de Santa Catarina, Santa Catarina, Brazil. pierre.gs@me.com
authors: Pierre Galvagni
authors: PG
authors: Silveira
authors: Rafael Narciso
authors: RN
authors: Franklin
authors: Josué Rafael Ferreira
authors: JR
authors: Cunha
authors: Thais Torres
authors: TT
authors: Neves
authors: Gilberto Galego
authors: GG
authors: Nascimento
authors: Cristiano Torres
authors: CT
authors: Bortoluzzi
mesh_terms: D000368:Aged; D000783:Aneurysm / Q000000981:diagnostic imaging / Q000601:surgery*; D001013:Aorta, Thoracic / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation*; D004240:Diverticulum / Q000000981:diagnostic imaging / Q000601:surgery*; D057510:Endovascular Procedures / Q000295:instrumentation*; D006801:Humans; D008297:Male; D011474:Prosthesis Design; D015607:Stents; D013348:Subclavian Artery / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome