Endovascular Repair for Kommerell’s Diverticulum and Right-Sided Aortic Arch

Kazuno, Kei; Murata, Shigeo

doi:10.3400/avd.cr.16-00045

Cited by 5 publications

(6 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In recent years, there have been reports of employing TEVAR to manage KDs associated with a right aortic arch. Kazuno et al reported a successful TEVAR with positive results in a KD patient, who had similar anatomy to the patient in the present case [Kazuno 2017].…”

Section: Discussionsupporting

confidence: 63%

Successful Endovascular Repair of a Kommerell’s Diverticulum and a Right-Sided Aortic Arch

Hayakawa

Nagano

Nishijima³

et al. 2020

HSF

View full text Add to dashboard Cite

Background: A 57-year-old woman was diagnosed with Kommerell’s diverticulum in the setting of a right aortic arch on computed tomography. Case report: Although asymptomatic, the maximum diameter of the aneurysm was 55 mm; thus, she underwent surgery to prevent rupture of the aneurysm. A bypass was constructed from the left common carotid artery to the left subclavian artery. A stent-graft was deployed from the distal right subclavian artery, and coil embolization of the diverticulum was performed via the left subclavian artery. She was discharged after 12 days of surgery. The postoperative four-month follow up showed a smaller aneurysm. Conclusion: Thoracic endovascular aortic repair is feasible and effective for Kommerell’s diverticulum.

show abstract

Section: Discussionsupporting

confidence: 63%

Successful Endovascular Repair of a Kommerell’s Diverticulum and a Right-Sided Aortic Arch

Hayakawa

Nagano

Nishijima³

et al. 2020

HSF

View full text Add to dashboard Cite

show abstract

“…Kommerell diverticulum has been repaired successfully endovascularly, which is often the repair strategy. 7 , 8 In one review of patients with a right-sided aortic arch and Kommerell diverticulum, 6% of the patients presented with rupture and 47% with dissection. 9 …”

Section: Discussionmentioning

confidence: 99%

“…Although endovascular stenting with cervical debranching has been described successfully, we did not believe this would be safely feasible, given the proximity of the pseudoaneurysm to the left carotid artery with an inadequate landing zone. 7 , 8 , 14 …”

Section: Discussionmentioning

confidence: 99%

Aortic arch and frozen elephant trunk repair of a right-sided aortic arch with pseudoaneurysm rupture

Clark

Drullinsky

Pradella

et al. 2023

Journal of Vascular Surgery Cases, Innovations and Techniques

View full text Add to dashboard Cite

“…Furthermore, no matter which devices are used to treat ALSA, there remain 2 basic techniques: proximal exclusion with/without blood flow reconstruction. Percutaneous coil embolization of the proximal segment of the ALSA was performed by coils or plugs after deployment of the device in some cases [ 16 , 21 ]. However, some researchers were concerned that intentional coverage of the ALSA during TEVAR would increase the risk of upper-extremity subclavian steal syndrome, or possibly of spinal cord ischemia.…”

Section: Discussionmentioning

confidence: 99%

A Systematic Review of Total Thoracic Endovascular Aortic Repair in Treatment of Kommerell Diverticulum Combined with Right-Sided Aortic Arch

et al. 2021

View full text Add to dashboard Cite

Kommerell diverticulum (KD) combined with right-sided aortic arch (RAA) and aberrant left subclavian artery (ALSA) are rare and limited to a few case reports and small series. Thoracic endovascular aortic repair (TEVAR), which is mini-invasive, is widely utilized in complicated aortic disease. We performed a systematic review of the literature to identify all patients who underwent endovascular repair for KD in terms of technical feasibility and procedural outcomes. Published and accepted studies only in English as well as article reference lists were searched and extracted to assess case series reporting solely TEVAR in KD patients. There were 28 patients with KD/RAA identified from 19 studies. All of them underwent endovascular technique for KD exclusion and the median age was 69 years (range 39–83 years). Hypertension (n=17) was the most common comorbidity in this cohort, followed by diabetes mellitus (n=3), hyperlipidemia (n=3), and smoking (n=3). The presenting symptoms were dysphagia (n=8, 29%), intermittent back pain (n=4, 14%), and acute aortic dissection (n=6, 21%), while asymptomatic was found in 9 patients (n=9, 32%). A technical success rate of 100% was reported associated with various managements of ALSA, proximal embolization (n=19, 68%), in-situ revascularization (n=3, 11%), and left carotid-subclavian bypass (n=3, 11%). All patients survived without severe complications and were discharged home within less than 14 days. The mean follow-up time was 9.3 months, patency was found in all patients, thrombosis and distinct shrinkage of KD aneurysm as indicated by CT-scans were noted (n=20, 71%), and type II endoleak was found in only 4 patients (n=4, 14%). TEVAR appears to be safe and offers favorable results, but it still needs substantial evidence to support routine use in KD. TEVAR is an alternative to open repair in selected cases, but it needs further investigation in a large cohort.

show abstract

Endovascular Repair for Kommerell’s Diverticulum and Right-Sided Aortic Arch

Cited by 5 publications

References 9 publications

Successful Endovascular Repair of a Kommerell’s Diverticulum and a Right-Sided Aortic Arch

Successful Endovascular Repair of a Kommerell’s Diverticulum and a Right-Sided Aortic Arch

Aortic arch and frozen elephant trunk repair of a right-sided aortic arch with pseudoaneurysm rupture

A Systematic Review of Total Thoracic Endovascular Aortic Repair in Treatment of Kommerell Diverticulum Combined with Right-Sided Aortic Arch

Contact Info

Product

Resources

About