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Aortic arch aneurysm and Kommerell's diverticulum: Repair with a single‐stage hybrid approach
Author(s) -
Vendramin Igor,
Lechiancole Andrea,
Frigatti Paolo,
Sponza Massimo,
Sponga Sandro,
Piani Daniela,
Bortolotti Uberto,
Livi Ugolino
Publication year - 2019
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.14099
Subject(s) - medicine , elephant trunks , aortic arch , diverticulum (mollusc) , aneurysm , surgery , prosthesis , radiology , subclavian artery , aorta
Kommerell's diverticulum is a rare congenital anomaly, consisting in aneurysmal dilatation at the origin of an aberrant subclavian artery. Depending on concomitant anatomical characteristics, different endovascular and open surgical procedures have been proposed. The following report describes the first single‐stage hybrid repair of a type I Kommerell's diverticulum associated with an aortic arch aneurysm and anomalous origin of the brachiocephalic vessels by total aortic arch replacement with a composite frozen elephant trunk prosthesis and endovascular treatment of the right subclavian artery. This hybrid procedure may represent an alternative to more challenging open repairs when totally endovascular approach is unfeasible.