Hybrid Procedure for a Kommerell's Diverticulum in a Right-Sided Aortic Arch

Michihito Nonaka; Kenta An; Daisuke Nakatsuka; Tatsuji Okada; Yuji Sekine; Atsushi Iwakura; Kazuo Yamanaka

doi:10.5761/atcs.cr.12.01990

This article has now been updated. Please use the final version.

Hybrid Procedure for a Kommerell's Diverticulum in a Right-Sided Aortic Arch

Michihito Nonaka, Kenta An, Daisuke Nakatsuka, Tatsuji Okada, Yuji Sekine, Atsushi Iwakura, Kazuo Yamanaka

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Keywords: aneurysm (aortic arch), aortic arch, aortic operation, endovascular procedures/stents

JOURNAL OPEN ACCESS Advance online publication

Article ID: cr.12.01990

DOI https://doi.org/10.5761/atcs.cr.12.01990

The final version of this article is now available: Vol. 20 (2014), No. Supplement pp. 821-824

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Abstract

A rare case of an aneurysmal Kommerell's diverticulum in a right-sided aortic arch was successfully treated using a hybrid procedure comprising total arch replacement and percutaneous stent grafting. A 65-year-old man with dysphagia was diagnosed with an ectatic right-sided aortic arch and a saccular aneurysm of the Kommerell's diverticulum. Since its radical resection during a single surgery was unfeasible because of its complex configuration, a 2-stage procedure was adopted.

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