Randolph H. L. Wong, FRCS, Simon C. Y. Chow, MBChB, Jerry K. H

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Two-stage hybrid repair for a Kommerell diverticulum in a right-sided aortic arch associated with multivessel coronary disease and atrial septal defect 
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Hybrid Treatment for Ruptured Diverticulum of Kommerell: A Minimally Invasive Option  Randolph H.L. Wong, FRCS, Simon C.Y. Chow, MBChB, Jerry K.H. Lok, MBChB, Calvin S.H. Ng, FRCS, Simon C.H. Yu, FRCRadi, James Y.W. Lau, FRCS, Malcolm J. Underwood, FRCS  The Annals of Thoracic Surgery  Volume 95, Issue 4, Pages e95-e96 (April 2013) DOI: 10.1016/j.athoracsur.2012.09.072 Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Axial view of contrast computed tomography of the thorax. The black arrow points to the aberrant right subclavian artery originated from the distal aortic arch. The white arrow points to the concealed rupture of the diverticulum of Kommerell. The Annals of Thoracic Surgery 2013 95, e95-e96DOI: (10.1016/j.athoracsur.2012.09.072) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A) Radiograph showing the Amplatzer devices in the origin of the aberrant right subclavian artery (white arrow) and left subclavian artery (dotted white arrow) and the thoracic aortic endovascular stent graft (black arrow). (B) Digital subtraction image with contrast showing patent bilateral carotid to axillary artery bypass grafts (white arrows) and successful exclusion of the aberrant right subclavian and left subclavian arteries. The Annals of Thoracic Surgery 2013 95, e95-e96DOI: (10.1016/j.athoracsur.2012.09.072) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions