Document Detail


Hybrid endovascular treatment of aneurysm degeneration in a rare right-aortic arch anomaly with Kommerell diverticulum.
MedLine Citation:
PMID:  19576720     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We present a hybrid endovascular approach to a 6.5-cm aneurysm of the right-sided aortic arch with an aberrant left subclavian artery arising from a Kommerell diverticulum, connected to the left pulmonary artery through the ligamentum arteriosum. The two-step procedure consisted of a bilateral carotid-subclavian bypass, followed by an ascending aorta-bicarotid bypass and completed by an endovascular exclusion of the aneurysms by covering the whole aortic arch and its branches. The patient had no complications and is asymptomatic 21 months after surgery. Hybrid procedures may be helpful in complex aortic arch pathologies, reducing complications of challenging open surgery.
Authors:
Paolo Frigatti; Franco Grego; Giovanni P Deriu; Sandro Lepidi
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2009-07-03
Journal Detail:
Title:  Journal of vascular surgery     Volume:  50     ISSN:  1097-6809     ISO Abbreviation:  J. Vasc. Surg.     Publication Date:  2009 Oct 
Date Detail:
Created Date:  2009-09-29     Completed Date:  2009-10-15     Revised Date:  2012-10-03    
Medline Journal Info:
Nlm Unique ID:  8407742     Medline TA:  J Vasc Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  903-6     Citation Subset:  IM    
Affiliation:
Division of Vascular and Endovascular Surgery, Department of Cardiac, Thoracic and Vascular Sciences, University of Padova Medical School, Padova, Italy.
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MeSH Terms
Descriptor/Qualifier:
Abnormalities, Multiple / radiography,  therapy*
Angioplasty / methods*
Aorta, Thoracic / abnormalities*
Aortic Aneurysm, Thoracic / radiography,  therapy*
Blood Vessel Prosthesis Implantation
Combined Modality Therapy
Disease Progression
Diverticulum / congenital*,  radiography,  surgery
Follow-Up Studies
Humans
Magnetic Resonance Angiography / methods
Male
Middle Aged
Rare Diseases
Risk Assessment
Severity of Illness Index
Subclavian Artery / abnormalities*
Tomography, X-Ray Computed
Treatment Outcome

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