Intraoperative retrograde TEVAR to control endoleak after emergent total arch replacement and frozen elephant trunk repair for ruptured Kommerell's diverticulum

Saket Singh; Julia F Chen; Roland Assi; Naiem Nassiri; Prashanth Vallabhajosyula

doi:10.1111/jocs.14950

Intraoperative retrograde TEVAR to control endoleak after emergent total arch replacement and frozen elephant trunk repair for ruptured Kommerell's diverticulum

J Card Surg. 2020 Dec;35(12):3578-3580. doi: 10.1111/jocs.14950. Epub 2020 Oct 21.

Authors

Saket Singh¹, Julia F Chen², Roland Assi¹, Naiem Nassiri², Prashanth Vallabhajosyula¹

Affiliations

¹ Department of Surgery, Section of Cardiac Surgery, Yale University School of Medicine, New Haven, Connecticut.
² Division of Vascular and Endovascular Surgery, Department of Surgery, Yale University School of Medicine, New Haven, Connecticut.

PMID: 33085131
DOI: 10.1111/jocs.14950

Abstract

We report an emergent complex hybrid repair of a type A intramural hematoma with a tear of the aortic arch at the site of Kommerell's diverticulum and an aberrant right subclavian artery. We identified a type IA endoleak intraoperatively, which was managed immediately with proximal extension. Performing this operation in the hybrid operating room facilitated optimal surgical management.

Keywords: aorta and great vessels; cardiovascular pathology.

Publication types

Case Reports

MeSH terms

Aorta, Thoracic / diagnostic imaging
Aorta, Thoracic / surgery
Blood Vessel Prosthesis Implantation*
Cardiovascular Abnormalities* / complications
Cardiovascular Abnormalities* / diagnostic imaging
Cardiovascular Abnormalities* / surgery
Diverticulum* / complications
Diverticulum* / diagnostic imaging
Diverticulum* / surgery
Endoleak / diagnostic imaging
Endoleak / surgery
Endovascular Procedures*
Humans
Subclavian Artery / diagnostic imaging
Subclavian Artery / surgery