Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2021 Oct;9(5):186-189.
doi: 10.1055/s-0041-1732397. Epub 2021 Dec 8.

Single-Stage Off-Pump Hybrid Repair of Kommerell's Diverticulum with Right-Sided Aortic Arch Using a Surgeon-Customized Vascular Prosthesis

Metesh Acharya  1 , Aamer Ahmed  2 , Aparna Deshpande  3 , Tryfon Vainas  4 , Leonidas Hadjinikolaou  1 , Giovanni Mariscalco  1
Affiliations

Single-Stage Off-Pump Hybrid Repair of Kommerell's Diverticulum with Right-Sided Aortic Arch Using a Surgeon-Customized Vascular Prosthesis

Metesh Acharya et al. Aorta (Stamford). 2021 Oct.

Abstract

We report the successful single-stage hybrid management of Kommerell's diverticulum associated with a right-sided aortic arch in a 63-year-old woman. She underwent total aortic arch debranching utilizing a surgeon-customized vascular prosthesis, without cardiopulmonary bypass or deep hypothermic circulatory arrest, and concomitant zone-0 endovascular stent-graft deployment.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflict of interest related to this article.

Figures

Fig. 1
Fig. 1
Reformatted preoperative three-dimensional computed tomography scan demonstrating a Kommerell's diverticulum (red arrow) associated with a right-sided aortic arch.
Fig. 2
Fig. 2
Intraoperative photograph showing customized vascular graft for aortic debranching with proximal end-to-side anastomosis to the native ascending aorta. A , graft to right common carotid artery; B , graft to right axillary artery (under A ); C , graft to left subclavian artery; and D , left common carotid artery transposed onto C .
Fig. 3
Fig. 3
Reformatted postoperative three-dimensional computed tomography scan showing the debranched aorta and endovascular stent graft (red arrow).
See this image and copyright information in PMC

Similar articles

See all similar articles

References

    1. Tanaka A, Milner R, Ota T. Kommerell's diverticulum in the current era: a comprehensive review. Gen Thorac Cardiovasc Surg. 2015;63(05):245–259. - PubMed
    1. Cinà C S, Althani H, Pasenau J, Abouzahr L. Kommerell's diverticulum and right-sided aortic arch: a cohort study and review of the literature. J Vasc Surg. 2004;39(01):131–139. - PubMed
    1. Kouchoukos N T, Masetti P. Aberrant subclavian artery and Kommerell aneurysm: surgical treatment with a standard approach. J Thorac Cardiovasc Surg. 2007;133(04):888–892. - PubMed
    1. Erben Y, Brownstein A J, Velasquez C A. Natural history and management of Kommerell's diverticulum in a single tertiary referral center. J Vasc Surg. 2020;71(06):2004–2011. - PubMed
    1. Austin E H, Wolfe W G. Aneurysm of aberrant subclavian artery with a review of the literature. J Vasc Surg. 1985;2(04):571–577. - PubMed