title: Endovascular repair of a right-sided thoracic aortic aneurysm with Kommerell diverticulum and aberrant left subclavian artery.
abstract: BACKGROUND
  A case of successful total endovascular repair of a right-sided descending thoracic aorta aneurysm (r-DTAA) with Kommerell diverticulum and aberrant left subclavian artery (ALSA) was reported. Few cases of this very rare pathology were reported, mostly describing a hybrid treatment, with only 2 cases of total endovascular repair performed to date.
  
  
  RESULTS
  Our strategy consisted of endovascular ALSA occlusion, without preventive revascularization, and r-DTAA exclusion by 2 endoprosthesis implanted in a telescopic fashion, first the distal one, to achieve a relative straightening of the arch and support the proximal endoprosthesis, and then the proximal one, close to the right subclavian origin. Completion angiography and 12-month computed tomography scan showed successful exclusion, patency of epiaortic vessels, and absence of endoleak.
  
  
  CONCLUSIONS
  Endovascular repair can be a safe and effective treatment for aortic disease with challenging anatomy, avoiding the need for a complex open surgery procedure.
authors.affiliation: Department of Vascular Surgery, Pineta Grande Hospital, Castelvolturno (CE), Italy. Electronic address: mariomonaco55@libero.it.
authors.forename: Mario
authors.initials: M
authors.lastname: Monaco
authors.affiliation: Department of Vascular Surgery, Pineta Grande Hospital, Castelvolturno (CE), Italy.
authors.forename: Stefano
authors.initials: S
authors.lastname: Lillo
authors.affiliation: Department of Vascular Surgery, Pineta Grande Hospital, Castelvolturno (CE), Italy.
authors.forename: Agostino
authors.initials: A
authors.lastname: La Marca Giordano
authors.affiliation: Department of Vascular Surgery, Pineta Grande Hospital, Castelvolturno (CE), Italy.
authors.forename: Antonio
authors.initials: A
authors.lastname: Contaldo
authors.affiliation: Department of Anesthesiology, Pineta Grande Hospital, Castelvolturno (CE), Italy.
authors.forename: Vincenzo
authors.initials: V
authors.lastname: Schiavone
mesh_terms: D000015:Abnormalities, Multiple; D000368:Aged; D000783:Aneurysm / Q000175:diagnosis / Q000601:surgery*; D000792:Angiography; D017545:Aortic Aneurysm, Thoracic / Q000175:diagnosis / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D018376:Cardiovascular Abnormalities / Q000175:diagnosis / Q000601:surgery*; D003680:Deglutition Disorders / Q000175:diagnosis / Q000601:surgery*; D004240:Diverticulum / Q000151:congenital* / Q000175:diagnosis; D057510:Endovascular Procedures / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D013348:Subclavian Artery / Q000002:abnormalities* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D054079:Vascular Malformations / Q000175:diagnosis / Q000601:surgery*