title: Random Finding of a Ruptured Kommerell Aneurysm After Stroke.
abstract: The random finding of a ruptured Kommerell aneurysm (rKA) is exceptional. We report the case of a 74-year-old man who received an incidental diagnosis of a contained rKA involving an aberrant right subclavian artery after a stroke. He underwent successful hybrid repair with the use of thoracic endovascular aortic repair associated with cervical debranching of the left subclavian artery and vascular plug occlusion of both subclavian artery origins. Whereas no early adverse event was reported, the patient experienced a vertebrobasilar insufficiency once he had recovered, requiring an additional right carotid-to-subclavian bypass.
authors.affiliation: Service de Chirurgie Cardiaque et Vasculaire, Hôpital Européen Georges Pompidou, Paris, France.
authors.forename: Iannis
authors.initials: I
authors.lastname: Ben Abdallah
authors.affiliation: Service de Chirurgie Cardiaque et Vasculaire, Hôpital Européen Georges Pompidou, Paris, France; Université Paris-Descartes, Faculté de Médecine, Paris, France. Electronic address: salma.el-batti@aphp.fr.
authors.forename: Salma
authors.initials: S
authors.lastname: El Batti
authors.affiliation: Service de Chirurgie Cardiaque et Vasculaire, Hôpital Européen Georges Pompidou, Paris, France; Université Paris-Descartes, Faculté de Médecine, Paris, France.
authors.forename: Pierre
authors.initials: P
authors.lastname: Julia
authors.affiliation: Service de Chirurgie Cardiaque et Vasculaire, Hôpital Européen Georges Pompidou, Paris, France; Université Paris-Descartes, Faculté de Médecine, Paris, France.
authors.forename: Jean-Marc
authors.initials: JM
authors.lastname: Alsac
mesh_terms: D000368:Aged; D000783:Aneurysm / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D017542:Aneurysm, Ruptured / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D018376:Cardiovascular Abnormalities / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D000072226:Computed Tomography Angiography / Q000379:methods*; D003680:Deglutition Disorders / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D003937:Diagnosis, Differential; D057510:Endovascular Procedures / Q000379:methods*; D006801:Humans; D008297:Male; D020521:Stroke / Q000150:complications* / Q000175:diagnosis; D013348:Subclavian Artery / Q000002:abnormalities* / Q000601:surgery