Surgical Treatment for Kommerell's Diverticulum Associated with a Right-Sided Aortic Arch and an Aberrant Left Subclavian Artery: Endovascular or Hybrid

被引：11

作者：

Morishita, Atsushi ^{[1
]}

Tomioka, Hideyuki ^{[2
]}

Katahira, Seiichiro ^{[3
]}

Hoshino, Takeshi ^{[4
]}

Hanzawa, Kazuhiko ^{[5
]}

机构：

[1] Numata Neurosurg Heart Dis Hosp, Dept Cardiovasc Surg, 8 Sakae Cho, Numata, Gunma 3780014, Japan

[2] Tokyo Womens Med Univ, Yachio Med Ctr, Dept Cardiovasc Surg, Chiba, Japan

[3] Tokyo Rosai Occupat Dis & Injuries Hosp, Dept Surg, Tokyo, Japan

[4] Minami Machida Hosp, Dept Anesthesiol, Machida, Tokyo, Japan

[5] Niigata Univ, Grad Sch Med & Dent Sci, Dept Adv Treatment & Prevent Vasc Dis & Embolism, Niigata, Niigata, Japan

来源：

ANNALS OF VASCULAR DISEASES | 2019年 / 12卷 / 02期

关键词：

Kommerell's diverticulum; thoracic endovascular aortic repair; two-stage hybrid operation; ANEURYSM;

D O I：

10.3400/avd.cr.18-00170

中图分类号：

R6 [外科学];

学科分类号：

1002 ; 100210 ;

摘要：

A right-sided aortic arch, associated with an aberrant left subclavian artery and a Kommerell's diverticulum, is a rare congenital anomaly. Case 1: A 53-year-old man, complaining of dysphasia, underwent a two-stage hybrid operation. Total arch replacement with the reconstruction of supra-aortic vessels was performed via a median sternotomy. Thoracic endovascular aortic repair was subsequently completed with the femoral approach. Case 2: A 81-year-old man, complaining of syncope and dizziness, underwent thoracic endovascular aortic repair after endovascular aneurysm repair for a common iliac artery aneurysm. Treatment strategies for Kommerell's diverticulum should be individually determined depending on the clinical situation and anatomical features.

引用

页码：228 / 232

页数：5

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