Published in:
Open Access
01-12-2021 | Aortic Dissection | Case report
Hybrid repair of aberrant right subclavian artery with aortic dissection caused by Kommerell diverticulum
Authors:
Tieyan Li, Lin Zou, Yunzhen Feng, Guoliang Fan, Yuanfeng Xin
Published in:
BMC Cardiovascular Disorders
|
Issue 1/2021
Login to get access
Abstract
Background
Aberrant right subclavian artery (ARSA) with associated Kommerell diverticulum (KD) is a rare congenital aortic disease. KD patients have a high risk of rupture, dissection, and compression of adjacent structures. Although several treatment options have been proposed (traditional surgery, hybrid operation, and endovascular intervention), a consensus regarding optimal surgical management has not yet been established.
Case presentation
A case of successful hybrid repair of distal aortic arch dissection aneurysm by dissecting KD and ARSA with debranching of right and left common carotid arteries, left subclavian artery, and stent grafting was presented.
Conclusions
The hybrid operation is suitable for elderly patients or those with high risks. Along with intervention, the hybrid operation needs to be developed as a minimally invasive method.