Two Cases of Thoracic Aortic Aneurysm with Right Aortic Arch: Comparison of Two Operative Strategies for Hybrid Thoracic Endovascular Repair

Onohara, Takeshi; Nakamura, Yoshinobu; Kishimoto, Yuichiro; Harada, Shingo; Fujiwara, Yuzuru; Saiki, Masaaki; Nishimura, Motonobu

doi:10.3400/avd.cr.14-00038

Cited by 4 publications

(2 citation statements)

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“…Open surgeries previously have been reported in the setting of a KD, including a total aortic replacement with a median sternotomy and a descending aortic replacement with a right thoracotomy under circulatory arrest [Ota 2006;Kouchoukos 2007]. There also have been reports of hybrid surgeries in which thoracotomy and TEVAR were performed in two stages [Onohara 2014]. In recent years, there have been reports of employing TEVAR to manage KDs associated with a right aortic arch.…”

Section: Discussionmentioning

confidence: 99%

“…Consequently, the surgery may be much more invasive as compared with cases involving a left aortic arch. Consequently, the risk of esophageal injury, respiratory complications, phrenic nerve paralysis and other nerve disorders, and hemorrhage are increased [Onohara 2014]. Thus, if KD patients with a right-sided aortic arch are indicated for surgery, TEVAR may be a viable option, even for young people.…”

Section: Discussionmentioning

confidence: 99%

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

Hayakawa

Nagano

Nishijima³

et al. 2020

HSF

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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.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%