Retroesophageal Subclavian Artery Aneurysm Arising from Kommerell's Diverticulum

This report describes a novel technique used for management of retroesophageal subclavian artery aneurysm arising from Kommerell's diverticulum. The procedure consists of endoaortic exclusion of the aneurysmal neck, using a prosthetic patch after sternotomy during circulatory arrest, and antegr...

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Veröffentlicht in:Annals of vascular surgery 2001-11, Vol.15 (6), p.699-702
Hauptverfasser: Sala, Florent, Jean Bouillane, Pierre, Paul Francisci, Marc, Diaz, Fernando, Lena, Pierre, Kreitmann, Patrice, Batt, Michel
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container_end_page 702
container_issue 6
container_start_page 699
container_title Annals of vascular surgery
container_volume 15
creator Sala, Florent
Jean Bouillane, Pierre
Paul Francisci, Marc
Diaz, Fernando
Lena, Pierre
Kreitmann, Patrice
Batt, Michel
description This report describes a novel technique used for management of retroesophageal subclavian artery aneurysm arising from Kommerell's diverticulum. The procedure consists of endoaortic exclusion of the aneurysmal neck, using a prosthetic patch after sternotomy during circulatory arrest, and antegrade cold blood cerebroplegia. The advantages of this technique are avoidance of hemorrhagic complications during clamping of the aneurysmal neck, limiting of the extent of dissection of the aortic arch, and elimination of the risk of inadvertent left recurrent nerve paralysis. Antegrade cold blood cerebroplegia provides good cerebral protection and decreases the duration and consequences of extracorporeal circulation.
doi_str_mv 10.1007/s10016-001-0010-2
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subjects Aged
Aneurysm, Dissecting - diagnosis
Aneurysm, Dissecting - etiology
Aortic Aneurysm - diagnosis
Aortic Aneurysm - etiology
Diverticulum, Esophageal - complications
Diverticulum, Esophageal - diagnosis
Humans
Male
Subclavian Artery - abnormalities
Tomography, X-Ray Computed
title Retroesophageal Subclavian Artery Aneurysm Arising from Kommerell's Diverticulum
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