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. 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.

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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

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