Hybrid Procedure for a Kommerell's Diverticulum in a Right-Sided Aortic Arch

A rare case of an aneurysmal Kommerell's diverticulum in a right-sided aortic arch was successfully treated using a hybrid procedure comprising total arch replacement and percutaneous stent grafting. A 65-year-old man with dysphagia was diagnosed with an ectatic right-sided aortic arch and a sa...

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Veröffentlicht in:	Annals of Thoracic and Cardiovascular Surgery 2014, Vol.20(Supplement), pp.821-824
Hauptverfasser:	Nonaka, Michihito, An, Kenta, Nakatsuka, Daisuke, Okada, Tatsuji, Sekine, Yuji, Iwakura, Atsushi, Yamanaka, Kazuo
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged aneurysm (aortic arch) Aneurysm - complications Aneurysm - diagnosis Aneurysm - surgery Aorta, Thoracic - abnormalities Aortic Aneurysm, Thoracic - complications Aortic Aneurysm, Thoracic - diagnosis Aortic Aneurysm, Thoracic - surgery aortic arch aortic operation Blood Vessel Prosthesis Implantation - methods Cardiovascular Abnormalities - complications Cardiovascular Abnormalities - diagnosis Cardiovascular Abnormalities - surgery Deglutition Disorders - complications Deglutition Disorders - diagnosis Deglutition Disorders - surgery Diverticulum - complications Diverticulum - diagnosis Diverticulum - surgery Endovascular Procedures - methods endovascular procedures/stents Humans Male Subclavian Artery - abnormalities Subclavian Artery - surgery
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Zusammenfassung:	A rare case of an aneurysmal Kommerell's diverticulum in a right-sided aortic arch was successfully treated using a hybrid procedure comprising total arch replacement and percutaneous stent grafting. A 65-year-old man with dysphagia was diagnosed with an ectatic right-sided aortic arch and a saccular aneurysm of the Kommerell's diverticulum. Since its radical resection during a single surgery was unfeasible because of its complex configuration, a 2-stage procedure was adopted.
ISSN:	1341-1098 2186-1005
DOI:	10.5761/atcs.cr.12.01990