Anatomical repair for Kommerell diverticulum with deep site in-situ fenestration. (July 2018)

• Record Type: Journal Article
• Authors: Shingaki, Masami; Kurimoto, Yoshihiko; Morishita, Kiyofumi; Baba, Toshio; Shibata, Tsuyoshi; Narayama, Kohei
• Is Part Of: Asian cardiovascular & thoracic annals. Volume 26:Number 6(2018)
• Page Start: 467
• Page End: 469
• Publication Date: 2018-07
• Subjects: Aortic aneurysm -- thoracic -- Blood vessel prosthesis implantation -- Endovascular procedures -- Stents -- Subclavian artery; Heart -- Diseases -- Asia -- Periodicals; Heart -- Diseases -- Pacific Area -- Periodicals; Heart -- Diseases -- Periodicals; Heart -- Surgery -- Asia -- Periodicals; Heart -- Surgery -- Pacific Area -- Periodicals; Heart -- Surgery -- Periodicals; Chest -- Surgery -- Asia -- Periodicals; Chest -- Surgery -- Pacific Area -- Periodicals; Chest -- Surgery -- Periodicals; 617.412
• DOI: 10.1177/0218492318785250
• Languages: English
• ISSNs: 0218-4923

Abstract

An 83-year-old woman with a Kommerell diverticulum was treated by anatomical endovascular repair with a deep site in-situ fenestration instead of complex debranching techniques. The main component of the thoracic stent-graft was deployed just distal to the third cervical branch to completely exclude the Kommerell diverticulum. A deep site in-situ fenestration was made on the main component using a radiofrequency needle through the left subclavian artery, and a stent-graft was deployed to bridge the main component to the left subclavian artery. Six months postoperatively, the Kommerell diverticulum was completely excluded with excellent left subclavian artery patency.