Endovascular repair of a Kommerell's diverticulum in a patient with a left-sided aortic arch and right-sided descending thoracic aorta

Riesenman, Paul J.; Campbell, Chase L.

doi:10.1016/j.jvs.2008.12.072

Cited by 14 publications

(9 citation statements)

References 11 publications

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“…It was said to the average size at aneurysmal rupture was 5.8 cm, but the range was wide which might to be rupture [2,3]. In TEVAR therapy, the presence of the ALSA requires coil embolization to prevent a type II endoleak.…”

Section: Discussionmentioning

confidence: 99%

Successful 36 Months Result of Debranching TEVAR for Kommerell?s Diverticulm with the Aberrant Left Subclavian Artery

Takai¹

2015

J Vasc Med Surg

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A case of successful endovascular repair of right aortic arch with the aberrant left subclavian artery (ALSA) arising from Kommerell's diverticulum (KD). Our strategy consisted of coil embolization for the orifice of the ALSA, put the bypass between left common carotid artery and left subclavian artery and exclusion of KD by stent graft insertion. Enhanced computed tomography scan 36 months after the operation showed successful exclusion of KD, patency of the bypass graft, and no evidence of endoleak.Endovascular repair can be a safe and effective treatment for aortic disease with challenging anatomy in the midterm, avoiding the need for a complex open surgery procedure. It is very rare in this successful case with midterm result we presented.

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Section: Discussionmentioning

confidence: 99%

Successful 36 Months Result of Debranching TEVAR for Kommerell?s Diverticulm with the Aberrant Left Subclavian Artery

Takai¹

2015

J Vasc Med Surg

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“…In a review of the literature by Cinà et al, the mean size at which these aneurysms rupture was reported to be 5.8 cm, although rupture was observed to have occurred over a wide range of diameters (2-10 cm). 1,3,9,10 Treatment options for an LSA aneurysm include surgical repair, combined (surgical and endovascular) treatment, or total endovascular repair. However, previously published data are limited to a few single case reports.…”

Section: Discussionmentioning

confidence: 99%

“…Several congenital anomalies of the aortic arch and great vessels have been extensively described. [1][2][3] Right-sided aorta is present in 0.04% to 0.1% of the population, and 50% of right-sided aortic arches are associated with an aberrant left subclavian artery (LSA). 4 A rare condition called Kommerell's diverticulum (KD), defined as an obviously dilated part of the origin of the aberrant artery from the aorta, may occur in patients with aberrant LSA.…”

mentioning

confidence: 99%

Total endovascular repair of aberrant left subclavian artery with Kommerell's diverticulum using a customized branched device

Silveira

Franklin²,

Cunha³

et al. 2013

Journal of Vascular Surgery

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We describe a case of Kommerell's diverticulum involving the distal portion of a right-sided aortic arch and the origin of an aberrant left subclavian artery (LSA). The patient underwent a total endovascular repair with the use of a modified Valiant endograft (Medtronic, Minneapolis, Minn) to which a branch was attached to keep LSA patency. Postoperative computed tomography showed complete exclusion of the lesion, without endoleaks. The use of "customized off-label" devices to treat special conditions was feasible in this case, keeping patency of the LSA without risk of arm claudication or the requirement for a complementary surgical bypass.

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“…The mean size associated with rupture was 5.8 cm in one case series report. 16,17 Another serious complication is embolization. 8…”

Section: Diagnosis Of Kdmentioning

confidence: 99%

“…The patient underwent thoracic aortic endovascular repair (TEVAR) plus use of graft to repair the aberrant subclavian artery. 17…”

Section: Surgical Management Of Kdmentioning

confidence: 99%

Syncope as Initial Presentation of Kommerell Diverticulum

et al. 2012

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Kommerell diverticulum (KD) is an aortic arch diverticulum at the origin of an aberrant subclavian artery. It is a rare anatomical anomaly that can be associated with a double aortic arc, a left aortic arch, and anomalous origin of the right subclavian artery or a right aortic arch with anomalous left subclavian artery. We present a case of KD presenting initially as syncope, as well as a review of the literature of this rare syndrome, including diagnosis, imaging techniques, and current surgical treatments.

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Endovascular repair of a Kommerell's diverticulum in a patient with a left-sided aortic arch and right-sided descending thoracic aorta

Cited by 14 publications

References 11 publications

Successful 36 Months Result of Debranching TEVAR for Kommerell?s Diverticulm with the Aberrant Left Subclavian Artery

Successful 36 Months Result of Debranching TEVAR for Kommerell?s Diverticulm with the Aberrant Left Subclavian Artery

Total endovascular repair of aberrant left subclavian artery with Kommerell's diverticulum using a customized branched device

Syncope as Initial Presentation of Kommerell Diverticulum

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