title: Endovascular repair of ruptured aberrant left subclavian artery with right aortic arch.
abstract: Association of a right-sided aortic arch with an aberrant left subclavian artery is rare. We present a case of successful endovascular repair of a ruptured Kommerell diverticulum associated with a right-sided aortic arch and aberrant left subclavian artery. We treated a 47-year-old woman with a diagnosis of ruptured aberrant left subclavian artery with thoracic endovascular stent-grafts. The descending aorta above Kommerell diverticulum was a reverse-tapered configuration. We managed the rather hostile neck with an extra-large Palmaz stent. A left carotid-to-subclavian bypass with an 8-mm Dacron graft was also performed to restore left arm perfusion and prevent vertebrobasilar insufficiency.
authors: Department of Cardiovascular Surgery, Osaka City General Hospital, Osaka, Japan. m6984787@msic.med.osaka-cu.ac.jp.
authors: Manabu
authors: M
authors: Motoki
authors: Koji
authors: K
authors: Hattori
authors: Yasuyuki
authors: Y
authors: Kato
authors: Yosuke
authors: Y
authors: Takahashi
authors: Shinsuke
authors: S
authors: Kotani
authors: Shinsuke
authors: S
authors: Nishimura
authors: Toshihiko
authors: T
authors: Shibata
mesh_terms: D000015:Abnormalities, Multiple / Q000601:surgery*; D000783:Aneurysm / Q000150:complications* / Q000601:surgery*; D001013:Aorta, Thoracic / Q000002:abnormalities* / Q000601:surgery*; D018376:Cardiovascular Abnormalities / Q000150:complications* / Q000601:surgery*; D003680:Deglutition Disorders / Q000150:complications* / Q000601:surgery*; D057510:Endovascular Procedures / Q000379:methods*; D005260:Female; D006801:Humans; D008875:Middle Aged; D012422:Rupture, Spontaneous; D013348:Subclavian Artery / Q000002:abnormalities / Q000601:surgery