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An octogenarian patient with double thoracic saccular aortic aneurysms in conjunction with a Kommerell diverticulum treated with a staged hybrid repair
Author(s) -
Nagata Tomoki,
Yamada Takashi,
Iwakoshi Shinichi,
Johno Hiroyuki
Publication year - 2020
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.14795
Subject(s) - medicine , asymptomatic , aortic arch , diverticulum (mollusc) , elephant trunks , thoracic aortic aneurysm , surgery , aortic repair , radiology , cardiothoracic surgery , saccular aneurysm , thoracic aorta , aortic aneurysm , aneurysm , aorta
Background A Kommerell diverticulum (KD) and aberrant subclavian artery (ASA) are an aortic vascular anomaly. Case Report We describe a case of a KD with a right ASA and two asymptomatic thoracic saccular aortic aneurysms in an 83‐year‐old man, which were treated with a total arch replacement, frozen elephant trunk technique, and staged thoracic endovascular aortic repair. Conclusions Some reports on the treatment of a KD and ASA have been reported thus far in the literature. However, it is considered rare to find two asymptomatic thoracic saccular aortic aneurysms coexisting with a KD in a patient over 80 years old, as was discovered in this patient.