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. 2020 Jun 25;13(2):191-193.
doi: 10.3400/avd.cr.20-00021.

Hybrid Repair of Kommerell's Diverticulum with Embolization of Aberrant Left Subclavian Artery

Masamichi Matsumori  1 , Motoharu Kawashima  1 , Yoshikatsu Nomura  1 , Hirohisa Murakami  1 , Nobuhiko Mukohara  1
Affiliations

Hybrid Repair of Kommerell's Diverticulum with Embolization of Aberrant Left Subclavian Artery

Masamichi Matsumori et al. Ann Vasc Dis. .

Abstract

An asymptomatic 70-year-old man presented with Kommerell's diverticulum (KD) and an aberrant left subclavian artery. Computed tomography revealed a KD diameter of 53 mm, severe aortic arch angulation, and no landing zone for thoracic endovascular aortic repair from the arch vessels to the diverticulum. We performed single-stage hybrid repair of KD of the right aortic arch, left carotid-left subclavian artery bypass, and embolization of the subclavian artery, followed by replacement of the descending aorta through deep hypothermic circulatory arrest via right thoracotomy. He was discharged home without any symptoms and remained uneventful at 1 year after the operation.

Keywords: Kommerell’s diverticulum; aberrant left subclavian artery; hybrid repair.

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Conflict of interest statement

Disclosure StatementThe authors have no conflicts of interest.

Figures

None
Fig. 1 Three-dimensional reconstruction of computed tomographic image of Kommerell’s diverticulum (KD) with aberrant left subclavian artery. The diameter of KD from the opposite aortic wall to the tip of the diverticulum was 53 mm .
None
Fig. 2 Postoperative computed tomographic image of patent left carotid artery to the left subclavian artery bypass and embolization of subclavian artery.
See this image and copyright information in PMC

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