title: Single-Stage Hybrid Repair of Right Aortic Arch With Kommerell's Diverticulum.
abstract: Kommerell diverticulum is uncommon, and it carries risks of dissection or rupture. Hybrid aortic arch repair is being used increasingly for this pathology. We report the hybrid arch repair of Kommerell diverticulum in a 72-year-old woman known for muscular dystrophy and right aortic arch with aberrant left subclavian artery. Head-vessel debranching was performed through median sternotomy using a handmade, bifurcated, Dacron graft. Stent-grafting was performed from the ascending aorta to the proximal descending aorta. To our knowledge, this report is the first description of debranching using a custom-made graft for hybrid repair of Kommerell diverticulum.
authors.affiliation: Department of Cardiac Surgery, Montreal Heart Institute and Université de Montréal, Montreal, Quebec, Canada.
authors.forename: Cristian
authors.initials: C
authors.lastname: Rosu
authors.affiliation: Department of Cardiology, Montreal Heart Institute and Université de Montréal, Montreal, Quebec, Canada.
authors.forename: Jean-François
authors.initials: JF
authors.lastname: Dorval
authors.affiliation: Department of Vascular Surgery, Knight Cardiovascular Institute, Oregon Health and Science University, Portland, Oregon.
authors.forename: Cherrie Zack
authors.initials: CZ
authors.lastname: Abraham
authors.affiliation: Department of Cardiac Surgery, Montreal Heart Institute and Université de Montréal, Montreal, Quebec, Canada.
authors.forename: Raymond
authors.initials: R
authors.lastname: Cartier
authors.affiliation: Department of Cardiac Surgery, Montreal Heart Institute and Université de Montréal, Montreal, Quebec, Canada. Electronic address: demersph@gmail.com.
authors.forename: Philippe
authors.initials: P
authors.lastname: Demers
mesh_terms: D000368:Aged; D000783:Aneurysm / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D018376:Cardiovascular Abnormalities / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D003680:Deglutition Disorders / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D004240:Diverticulum / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D015607:Stents; D013348:Subclavian Artery / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery