title: Hybrid repair of a ruptured right-sided aortic arch with an aberrant left subclavian artery arising from a diverticulum of Kommerell: a case report.
abstract: Right-sided aortic arch with an aberrant left subclavian artery is a rare aortic arch anomaly. Although usually asymptomatic, aneurysm formation, dissection, and rupture can occur due to the aberrant vasculature and can be life-threatening. Hybrid, endovascular techniques have been implemented in instances of elective repair of aneurysmal diverticula of Kommerell in similar anatomical settings, but little has been written regarding urgent cases of rupture. We report a case of ruptured right-sided aortic arch with an aberrant left subclavian artery arising from a diverticulum of Kommerell successfully treated with hybrid aortic debranching and thoracic endovascular aortic stenting.
authors.affiliation: Department of Cardiothoracic Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA, USA constantine.mavroudis@uphs.upenn.edu.
authors.forename: Constantine D
authors.initials: CD
authors.lastname: Mavroudis
authors.affiliation: Department of Radiology, William Beaumont Hospital, Royal Oak, MI, USA.
authors.forename: Alexander
authors.initials: A
authors.lastname: Copelan
authors.affiliation: Department of Radiology, William Beaumont Hospital, Royal Oak, MI, USA.
authors.forename: Farnoosh
authors.initials: F
authors.lastname: Sokhandon
authors.affiliation: Department of Cardiothoracic Surgery, William Beaumont Hospital, Royal Oak, MI, USA.
authors.forename: Jeffrey
authors.initials: J
authors.lastname: Altshuler
mesh_terms: D000783:Aneurysm / Q000150:complications / Q000601:surgery*; D001013:Aorta, Thoracic / Q000002:abnormalities*; D017545:Aortic Aneurysm, Thoracic / Q000209:etiology / Q000601:surgery*; D001019:Aortic Rupture; D018376:Cardiovascular Abnormalities / Q000150:complications / Q000601:surgery*; D003680:Deglutition Disorders / Q000150:complications / Q000601:surgery*; D004240:Diverticulum / Q000150:complications / Q000601:surgery*; D006330:Heart Defects, Congenital / Q000150:complications / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013348:Subclavian Artery / Q000002:abnormalities* / Q000601:surgery
keywords: aberrant subclavian; aortic arch; endovascular surgery; hybrid repair; vascular ring