Hybrid endovascular treatment of an aberrant right subclavian artery with Kommerell aneurysm.
Aberrant right subclavian artery is a rare anatomical finding of abnormal embryologic development of the dorsal aorta and right subclavian artery. An associated aortic outpouching, or Kommerell diverticulum, may develop at the origin of the aberrant right subclavian artery. Given historically high rates of aneurysm rupture and mortality, early repair is indicated. Successful aneurysm exclusion can be accomplished with thoracic endovascular stent grafting following open carotid-subclavian bypass, maintaining upper extremities perfusion. Such hybrid techniques offer a decrease in mortality and complication rates. Herein, we describe a successful repair of a symptomatic (dysphagia, weight loss) aberrant right subclavian artery with Kommerell diverticulum using this hybrid open-endovascular approach.
Thomas Jefferson University Hospital, Philadelphia, PA, USA.
K M
KM
Lamb
Thomas Jefferson University Hospital, Philadelphia, PA, USA.
N
N
Moudgill
Thomas Jefferson University Hospital, Philadelphia, PA, USA.
A K
AK
Whisenhunt
Thomas Jefferson University Hospital, Philadelphia, PA, USA.
M
M
Ayad
Thomas Jefferson University Hospital, Philadelphia, PA, USA.
B
B
Abai
Thomas Jefferson University Hospital, Philadelphia, PA, USA.
D
D
Salvatore
Thomas Jefferson University Hospital, Philadelphia, PA, USA Paul.dimuzio@jefferson.edu.
P J
PJ
DiMuzio
D000369:Aged, 80 and over; D001018:Aortic Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D004240:Diverticulum / Q000000981:diagnostic imaging / Q000601:surgery*; D057510:Endovascular Procedures / Q000379:methods*; D006801:Humans; D008297:Male; D015641:Radiography, Interventional; D013348:Subclavian Artery / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery*; D014057:Tomography, X-Ray Computed / Q000379:methods
Aberrant subclavian artery; Kommerell aneurysm; endovascular treatment; hybrid treatment