Debranching Thoracic Endovascular Aortic Repair for Kommerell's Diverticulum with Right-Sided Aortic Arch
- VernacularTitle:右側大動脈弓に合併した左鎖骨下動脈起始異常を伴う有症状のKommerell憩室に対しdebranching TEVARを施行した1手術例
- Author:
Takaya NAKAGAWA
1
;
Hajime MATSUE
1
;
Yasuo SUEHIRO
1
;
Hisashi UEMURA
1
;
Ayaka SATOH
1
;
Hisashi SATOH
1
Author Information
- Keywords: right-sided aortic arch; Kommerell's diverticulum; aberrant left subclavian artery; TEVAR
- From:Japanese Journal of Cardiovascular Surgery 2023;52(3):181-184
- CountryJapan
- Language:Japanese
- Abstract: We report a case of debranching thoracic endovascular aortic repair for Kommerell's diverticulum with right-sided aortic arch in 78-year-old women. The computed tomography (CT) demonstrated Kommerell's diverticulum with a right-sided aortic arch and the trachea and esophagus were compressed by the diverticulum. The diverticulum had a maximum diameter of 32 mm, and surgical intervention was chosen because of the aneurysmal change and the possibility of rupture. We performed endovascular aortic repair for Kommerell's diverticulum with a right-sided aortic arch because of low lung function and low frailty. The patient was discharged on the 21st postoperative day. There was no evidence of aortic event during 2 years follow up.
