Outcomes of Repair of Kommerell Diverticulum

Surgical Outcomes of Kommerell Diverticulum

“…The literature includes a case in which compressive symptoms did not improve after endovascular repair. Reoperations due to endoleak have also been reported [2]. In our study, patient 9 had a type 3 endoleak from the ASA after exclusion via an endovascular graft.…”

“…Cina et al [6] advocated the aggressive surgical treatment for KD larger than 3 cm in diameter at the level of the orifice, and Ota et al [7] suggested surgical management for symptomatic aneurysms larger than 5 cm. Considering the incremental complexities of surgery as the diverticulum grows, Vinnakota et al [2] and Kouchoukos and Masetti [3] also advocated early surgery to eliminate the risk of aortic dissection or aneurysm rupture. In contrast, asymptomatic ASA and KD are generally thought to be benign anomalies of the aorta.…”

“…In such patients, a specific threshold for therapeutic intervention based on aneurysm size has not yet been established because of the unclear natural history of this disease. The levels of risk of catastrophic aortic events associated with KD, including rupture or dissection, vary widely across reports, from 4% to 19% and from 11% to 53%, respectively [1,2]. Although some authors have advocated generous prophylactic interventions for this condition, the technically demanding surgical procedures attributable to the complex anatomy involved have complicated the issue [3].…”

Modified total arch replacement with the frozen elephant trunk technique for a right‐sided aortic arch and aortic diverticulum in a teenager

“…Cinà et al 4 reported that an AD should be treated surgically if the diameter is 3 cm or greater. Evidence of aneurysmal growth, imminent rupture or dissection can also be indications for surgical management 2,5 …”

“…Evidence of aneurysmal growth, imminent rupture or dissection can also be indications for surgical management. 2,5 Surgical, endovascular, or hybrid procedures have been de- for the avoidance of a left thoracotomy and resection of the distal arch, and it has the advantage of avoiding recurrent nerve injury. 2,[5][6][7] On the other hand, a long follow-up is required to evaluate the longterm durability of the FET.…”