Endovascular Repair with a Fenestrated Stent Graft for Kommerell's Diverticulum with a Right Aortic Arch
10.4326/jjcvs.42.151
- VernacularTitle:右側大動脈弓に伴う Kommerell 憩室に対する開窓式ステントグラフト内挿術の1例
- Author:
Yukihiko Tamiya
;
Johji Fukada
;
Yasuaki Fuzisawa
;
Yosihiko Kurimoto
- Publication Type:Journal Article
- Keywords:
right aortic arch;
Kommerell's diverticulum;
endovascular repair using a fenestrated stent-graft
- From:Japanese Journal of Cardiovascular Surgery
2013;42(2):151-154
- CountryJapan
- Language:Japanese
-
Abstract:
A 77-year-old man with an abnormal shadow on chest x-ray film, was found to have Kommerell's diverticulum associated with a right aortic arch 2 years previously. During the period of follow-up, the Kommerell's diverticulum was expanded to 5.3 cm in diameter. CT revealed a right aortic arch with mirror-image branching and Kommerell's diverticulum. To eliminate the risk of rupture, the Kommerell's diverticulum was excluded by deployment of a handmade fenestrated stent-graft using the brachial wire traction technique via the right femoral artery and left brachial artery. At 30-months of follow-up the patient is doing well, with no signs of endoleak or migration. Endovascular repair of Kommerell's diverticulum with a right aortic arch is feasible, safe and effective. This is a rare case of a right aortic arch with Kommerell's diverticulum and without left aberrant subclavian artery.
