Hybrid repair of aberrant right subclavian artery with aortic dissection caused by Kommerell diverticulum.

BMC Cardiovasc Disord

Department of Cardiovascular Surgery, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, 200120, People's Republic of China.

Published: November 2021

Background: Aberrant right subclavian artery (ARSA) with associated Kommerell diverticulum (KD) is a rare congenital aortic disease. KD patients have a high risk of rupture, dissection, and compression of adjacent structures. Although several treatment options have been proposed (traditional surgery, hybrid operation, and endovascular intervention), a consensus regarding optimal surgical management has not yet been established.

Case Presentation: A case of successful hybrid repair of distal aortic arch dissection aneurysm by dissecting KD and ARSA with debranching of right and left common carotid arteries, left subclavian artery, and stent grafting was presented.

Conclusions: The hybrid operation is suitable for elderly patients or those with high risks. Along with intervention, the hybrid operation needs to be developed as a minimally invasive method.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8607728PMC
http://dx.doi.org/10.1186/s12872-021-02340-8DOI Listing

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