Endovascular Repair for Kommerell Diverticulum With Type A Aortic Dissection

Ann Thorac Surg. 2020 Sep;110(3):e217-e219. doi: 10.1016/j.athoracsur.2019.12.070. Epub 2020 Feb 12.

Abstract

Total endovascular repair remains challenging for Kommerell diverticulum with chronic type A aortic dissection. We reported the first total endovascular repair for a Kommerell diverticulum with chronic retrograde type A aortic dissection. We conducted total endovascular repair with a unibody, single-branched, stent-graft combined with the chimney technique for reconstruction of both subclavian arteries. Completion angiography showed complete exclusion of the primary entry tear without endoleak and patency of all stent-grafts, and computed tomographic angiography at follow-up showed significant remodeling of the false lumen. In this case we show that total endovascular repair is feasible and safe in selective patients of this kind.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Aortic Aneurysm, Thoracic / complications
  • Aortic Aneurysm, Thoracic / diagnostic imaging
  • Aortic Aneurysm, Thoracic / surgery*
  • Aortic Dissection / complications
  • Aortic Dissection / diagnostic imaging
  • Aortic Dissection / surgery*
  • Blood Vessel Prosthesis Implantation*
  • Computed Tomography Angiography
  • Diverticulum / complications
  • Diverticulum / diagnostic imaging
  • Diverticulum / surgery*
  • Endovascular Procedures*
  • Humans
  • Male
  • Stents