Total endovascular repair of aberrant left subclavian artery with Kommerell's diverticulum using a customized branched device.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 23312832.
- Also identified by DOI 10.1016/j.jvs.2012.10.008.
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Abstract
We describe a case of Kommerell's diverticulum involving the distal portion of a right-sided aortic arch and the origin of an aberrant left subclavian artery (LSA). The patient underwent a total endovascular repair with the use of a modified Valiant endograft (Medtronic, Minneapolis, Minn) to which a branch was attached to keep LSA patency. Postoperative computed tomography showed complete exclusion of the lesion, without endoleaks. The use of "customized off-label" devices to treat special conditions was feasible in this case, keeping patency of the LSA without risk of arm claudication or the requirement for a complementary surgical bypass.
Medical subject headings
- Aneurysm
- Aorta, Thoracic
- Blood Vessel Prosthesis
- Blood Vessel Prosthesis Implantation
- Diverticulum
- Endovascular Procedures
- Stents
- Subclavian Artery