2023 Volume 32 Issue 5 Pages 399-403
We report a case of staged repair for acute aortic dissection with Kommerell’s diverticulum. A 40-year-old man with chest pain was referred to our hospital. A CT scan showed a Kommerell’s diverticulum in the descending aorta and a dissected lumen extending from the aortic root to the diverticulum. Emergency surgery was performed. Because the entry site of the diverticulum was unclear, we planned to cover the diverticulum with TEVAR (thoracic endovascular aortic repair) in the early postoperative period. The ascending aorta and aortic arch were replaced. On the fifth postoperative day, the left common carotid artery and left axillary artery were bypassed and TEVAR was performed. Postoperative enhanced CT scan revealed a type 2 endoleak from the left subclavian artery, and embolization was performed. On the 35th postoperative day, the patient was discharged from the hospital independently. We experienced a successful case of staged repair for acute aortic dissection with Kommerell’s diverticulum.
