Mid-term results of hybrid treatment of aortic dissection combined with Kommerell’s diverticulum

Surgical treatment of Kommerell's diverticulum

“…Kommerell's diverticulum (KD) is a rare congenital vascular anomaly due to the formation of an abnormal aortic arch, most commonly associated with dilatation at the proximal part of the aberrant subclavian artery. The aberrant subclavian artery is also known as arteria lusoria 1–5 . Aberrant right subclavian artery (ARSA) is the most frequent anomaly of the aortic arch, with a reported prevalence ranging between 0.2% and 2.5% of the population, and is associated with KD in 60% of cases 6 …”

“…KD is associated with a high risk of rupture and thromboembolic events. There is more than a 50% risk of aortic dissection in KD irrespective of the aneurysm size 3,5,8 . As instrumental diagnostics and angiography advanced, the prevalence of diagnosed KDs has increased, allowing to study thoroughly the management strategy for this anomaly 3,9 .…”

“…There is more than a 50% risk of aortic dissection in KD irrespective of the aneurysm size. 3,5,8 As instrumental diagnostics and angiography advanced, the prevalence of diagnosed KDs has increased, allowing to study thoroughly the management strategy for this anomaly. 3,9 Given the progress in the field of endovascular surgery, it is safe to say it has allowed surgeons to modify the surgical treatment of the aorta; in some cases, a hybrid approach is preferable for high-risk patients.…”