title: Hybrid treatment for ruptured diverticulum of kommerell: a minimally invasive option.
abstract: Although aberrant right subclavian artery is the commonest aortic arch anomaly, it is a rare entity in clinical practice. While mostly asymptomatic, the rupture of an aneurysm of an aberrant right subclavian artery or Kommerell's diverticulum can be life threatening. A conventional open surgical approach involving sternotomy and resection of the abnormal vessels under circulatory support carries significant morbidity and mortality. We report a case of a ruptured diverticulum of Kommerell that was successfully treated with a hybrid debranching surgery, Amplatzer device embolization of the subclavian vessels, and thoracic aortic endovascular stenting.
authors.affiliation: Division of Cardiothoracic Surgery, Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong. wonhl1@surgery.cuhk.edu.hk
authors.forename: Randolph H L
authors.initials: RH
authors.lastname: Wong
authors.forename: Simon C Y
authors.initials: SC
authors.lastname: Chow
authors.forename: Jerry K H
authors.initials: JK
authors.lastname: Lok
authors.forename: Calvin S H
authors.initials: CS
authors.lastname: Ng
authors.forename: Simon C H
authors.initials: SC
authors.lastname: Yu
authors.forename: James Y W
authors.initials: JY
authors.lastname: Lau
authors.forename: Malcolm J
authors.initials: MJ
authors.lastname: Underwood
mesh_terms: D000328:Adult; D017542:Aneurysm, Ruptured / Q000000981:diagnostic imaging / Q000628:therapy*; D000792:Angiography; D004621:Embolization, Therapeutic / Q000379:methods*; D057510:Endovascular Procedures / Q000379:methods*; D006801:Humans; D008297:Male; D015607:Stents; D013348:Subclavian Artery / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D014057:Tomography, X-Ray Computed