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Case Reports
. 2017 Mar 24;10(1):74-76.
doi: 10.3400/avd.cr.16-00101. Epub 2017 Mar 31.

Endovascular Treatment for Kommerell's Diverticulum with a Right-Sided Aortic Arch

Masanori Hara  1 , Takeshiro Fujii  1 , Muneyasu Kawasaki  2 , Tomoyuki Katayanagi  1 , Shinnosuke Okuma  1 , Noritsugu Shiono  1 , Keiichi Tokuhiro  2 , Yoshinori Watanabe  1
Affiliations
Case Reports

Endovascular Treatment for Kommerell's Diverticulum with a Right-Sided Aortic Arch

Masanori Hara et al. Ann Vasc Dis. .

Abstract

We report a rare case of type A dissection involving a right-sided aortic arch with an aberrant left subclavian artery originating from Kommerell's diverticulum in a 76-year-old woman. Endovascular treatment for Kommerell's diverticulum including intimal tear of the dissection was performed. At the 5-year follow-up, the patient was doing well, with no endoleak or dilatation of the Kommerell's diverticulum.

Keywords: Kommerell’s diverticulum; aortic dissection; right-sided aortic arch.

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Figures

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Fig. 1 Computed tomography (CT) analysis upon admission. (A, B) Kommerell’s diverticulum and the aorta appear to be on the right side of both the esophagus and trachea. (C) Three-dimensional CT scanning shows a right-sided aortic arch with an aberrant left subclavian artery originating from the Kommerell’s diverticulum.
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Fig. 2 (A, B) Computed tomography (CT) scan showing Stanford type A acute aortic dissection with an entry at the Kommerell’s diverticulum.
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Fig. 3 Postoperative computed tomography (CT) showing the exclusion of Kommerell’s diverticulum.
See this image and copyright information in PMC

References

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