Progress in surgical treatment of Kommerell's diverticulum
10.7507/1007-4848.202007057
- VernacularTitle:Kommerell 憩室的外科治疗进展
- Author:
Long CHENG
1
;
Yuqiang SHANG
1
Author Information
1. The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430014, P.R.China
- Publication Type:Journal Article
- Keywords:
Kommerell's diverticulum;
aberrant subclavian artery;
hybrid operation;
total endovascular repair;
review
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2021;28(10):1248-1254
- CountryChina
- Language:Chinese
-
Abstract:
Kommerell's diverticulum is a rare congenital abnormal aortic development. The diverticulum can occur in both left and right aortic arches, from which an aberrant subclavian artery rises to the contralateral side. Only a small number of patients with Kommerell's diverticulum present symptoms. Dysphagia, dyspnea, chest discomfort and upper extremity blood pressure difference are common in adult patients. The risk of aortic dissection or aortic aneurysm rupture is higher in such patients than that in patients with normal aorta. Early surgical intervention is recommended to improve the prognosis. Treatment options include open surgical repair, hybrid operation and total endovascular repair. The choice of surgical method depends on the specific anatomy of patients, the patients' state and the preference of surgeons. This paper reviewed and summarized the surgical methods and early results of the treatment of Kommerell's diverticulum reported in the literature from 2015 to 2020.
