Hybrid endovascular treatment of aneurysm degeneration in a rare right-aortic arch anomaly with Kommerell diverticulum.

Abstract:

:We present a hybrid endovascular approach to a 6.5-cm aneurysm of the right-sided aortic arch with an aberrant left subclavian artery arising from a Kommerell diverticulum, connected to the left pulmonary artery through the ligamentum arteriosum. The two-step procedure consisted of a bilateral carotid-subclavian bypass, followed by an ascending aorta-bicarotid bypass and completed by an endovascular exclusion of the aneurysms by covering the whole aortic arch and its branches. The patient had no complications and is asymptomatic 21 months after surgery. Hybrid procedures may be helpful in complex aortic arch pathologies, reducing complications of challenging open surgery.

journal_name

J Vasc Surg

authors

Frigatti P,Grego F,Deriu GP,Lepidi S

doi

10.1016/j.jvs.2009.04.065

subject

Has Abstract

pub_date

2009-10-01 00:00:00

pages

903-6

issue

4

eissn

0741-5214

issn

1097-6809

pii

S0741-5214(09)01002-7

journal_volume

50

pub_type

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