Hybrid repair of right aortic arch aneurysm with a Kommerell's diverticulum

Koyu Tanaka; Hidenori Yoshitaka; Genta Chikazawa; Taichi Sakaguchi; Toshinori Totsugawa; Kentaro Tamura

doi:10.1177/0218492313481465

Hybrid repair of right aortic arch aneurysm with a Kommerell's diverticulum

Asian Cardiovasc Thorac Ann. 2014 Jul;22(6):725-7. doi: 10.1177/0218492313481465. Epub 2013 Sep 4.

Authors

Koyu Tanaka¹, Hidenori Yoshitaka², Genta Chikazawa², Taichi Sakaguchi², Toshinori Totsugawa², Kentaro Tamura²

Affiliations

¹ Department of Cardiovascular Surgery, The Sakakibara Heart Institute of Okayama, Okayama, Japan [email protected].
² Department of Cardiovascular Surgery, The Sakakibara Heart Institute of Okayama, Okayama, Japan.

PMID: 24887812
DOI: 10.1177/0218492313481465

Abstract

We describe the case of a 74-year-old man who underwent a hybrid open and endovascular approach for repair of dissecting thoracic aortic aneurysm of a right aortic arch with aberrant left subclavian artery arising from a Kommerell's diverticulum. Total debranching using a tailored quadrifurcated graft and thoracic endovascular aneurysm repair for the transverse aortic lesion were performed. The procedures were successfully accomplished with complete exclusion of the aneurysm. This hybrid procedure for complex aortic arch disease may reduce perioperative complications compared to challenging conventional open approaches.

Keywords: Hybrid repair; Kommerrell's diverticulum; right aortic arch; thoracic endovascular aneurysm repair; total debranching.

Publication types

Case Reports

MeSH terms

Aged
Aneurysm / complications
Aneurysm / diagnostic imaging
Aneurysm / surgery*
Aortic Aneurysm, Thoracic / complications
Aortic Aneurysm, Thoracic / diagnostic imaging
Aortic Aneurysm, Thoracic / surgery*
Aortic Dissection / complications
Aortic Dissection / diagnostic imaging
Aortic Dissection / surgery*
Aortography / methods
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation* / instrumentation
Cardiovascular Abnormalities / complications
Cardiovascular Abnormalities / diagnostic imaging
Cardiovascular Abnormalities / surgery*
Computed Tomography Angiography
Deglutition Disorders / complications
Deglutition Disorders / diagnostic imaging
Deglutition Disorders / surgery*
Diverticulum / complications
Diverticulum / diagnostic imaging
Diverticulum / surgery*
Endovascular Procedures* / instrumentation
Humans
Male
Prosthesis Design
Subclavian Artery / abnormalities*
Subclavian Artery / diagnostic imaging
Subclavian Artery / surgery
Treatment Outcome

Supplementary concepts

Aberrant subclavian artery