Guido H. W. van Bogerijen, MD, Himanshu J. Patel, MD, Jonathan L

Slides:

Advertisements

Similar presentations

Bradley G. Leshnower, MD, Ravi K. Veeraswamy, MD, Yazan M

Advertisements

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

Congenital subclavian steal syndrome with multiple cerebellar infarctions caused by an atypical circumflex retroesophageal right aortic arch with atretic.

Jordan Knepper, MD, Enrique Criado, MD Journal of Vascular Surgery

Open Distal Fenestration of Chronic Dissection Facilitates Endovascular Elephant Trunk Completion: Late Outcomes Muhammad Aftab, MD, Jay J. Idrees, MD,

Surgical treatment of an aneurysm in the right aortic arch with aberrant left subclavian artery Takuro Tsukube, MD, Keiji Ataka, MD, Masahiro Sakata,

Raghuveer Vallabhaneni, MD, Jeffrey Jim, MD, Colin P

Acute blunt traumatic injury to the descending thoracic aorta

Fenestrated endovascular repair of aortic arch aneurysm in patients with bovine arch using the Najuta stent graft Naoki Toya, MD, PhD, Takao Ohki, MD,

Total endovascular repair of aberrant left subclavian artery with Kommerell's diverticulum using a customized branched device Pierre Galvagni Silveira,

Repair of Coarctation in Right Circumflex Retroesophageal Arch

Hybrid Repair of Ruptured Arch Aneurysm Without Sternotomy Through an Unusual Extraanatomic Bypass Chung-Lin Tsai, MD, Chih-Chun Yang, MD, Takuya Fujikawa,

Ourania Preventza, MD, James J. Livesay, MD, Denton A

Surgical strategy for Kommerell's diverticulum: Total arch replacement

Repair of Circumflex Aortic Arch in an Adult

Thoracic Endovascular Aortic Repair Including Total Debranching on Femoral Artery for Arch Rupture Yu Inaba, MD, Tsutomu Ito, MD, PhD, Sachiko Hayashi,

Computational Fluid Dynamics and Aortic Thrombus Formation Following Thoracic Endovascular Aortic Repair Foeke J.H. Nauta, MD, PhD, Kevin D. Lau, PhD,

Peter Kleine, MD, Mustafa Balci, MD, Anton Moritz, MD

Hybrid endovascular treatment of aneurysm degeneration in a rare right-aortic arch anomaly with Kommerell diverticulum Paolo Frigatti, MD, Franco Grego,

Right aortic arch and an aberrant left subclavian artery arising from a Kommerell diverticulum complicated by acute aortic dissection Joon Bum Kim, MD,

Selective Left Subclavian Ligation in Total Aortic Arch Replacement

Thoracic Stent Grafting for Acute Aortic Pathology

Simultaneous Repair of Right-Sided Coarctation and Vascular Ring

James D. St. Louis, MD The Annals of Thoracic Surgery

Perioperative Evaluation of Airways in Patients With Arch Obstruction and Intracardiac Defects Won Kyoung Jhang, MD, Jeong-Jun Park, MD, PhD, Dong-Man.

Random Finding of a Ruptured Kommerell Aneurysm After Stroke

Thoracic endovascular aortic repair of aortobronchial fistulas

Congenital subclavian steal syndrome with multiple cerebellar infarctions caused by an atypical circumflex retroesophageal right aortic arch with atretic.

Migration of endovascular plug in hybrid repair of dysphagia lusoria

Raghuveer Vallabhaneni, MD, Luis A. Sanchez, MD

Robert J. Cerfolio, MD, Thomas C. Matthews, BS

Nicholas D. Andersen, MD, Michael E. Barfield, MD, Jennifer M

Sanford M. Zeigler, MD, William Hiesinger, MD

John.S Ikonomidis, MD, PhD, Robert C Robbins, MD

Hybrid repair of an aortic arch aneurysm with complex anatomy: Right aortic arch and anomalous origin of supra-aortic vessels Roberto Chiesa, MD, Germano.

Paul J. Riesenman, MD, MS, Mark A. Farber, MD, Robert R

Multiple Penetrating Aortic Ulcers Involving the Aortic Arch and Brachiocephalic Artery Benjamin Hickey, MRCS, Paul Vaughan, MRCS Ed, Allan Dawson, FRCPath,

Paraplegia after coronary artery bypass surgery: An uncommon complication in a patient with history of thoracic endovascular aortic repair Aurélien Vallée,

Open, Hybrid, and Endovascular Treatment for Aortic Coarctation and Postrepair Aneurysm in Adolescents and Adults Eric E. Roselli, MD, Athar Qureshi,

Endovascular Thoracic Aortic Aneurysm Repair With Concomitant Myocardial and Carotid Revascularization Keshava Rajagopal, MD, PhD, Brian Lima, MD, J.

Endovascular Repair of a Right-Sided Descending Thoracic Aortic Aneurysm With a Right-Sided Aortic Arch and Aberrant Left Subclavian Artery Joseph J.

Tracheal Compression With “Hairpin” Right Aortic Arch: Management by Aortic Division and Aortopexy by Right Thoracotomy Guided by Intraoperative Bronchoscopy

Endovascular Repair of Ruptured Aberrant Left Subclavian Artery With Right Aortic Arch Manabu Motoki, MD, Koji Hattori, MD, Yasuyuki Kato, MD, Yosuke.

Rapid Aortic Arch Debranching Using the Gore Hybrid Vascular Graft

Venkatapuram Seenu Reddy, MD, MBA, Jeffrey D. McNeil, MD, Matthew W

Total Endovascular Repair of Post-dissection Aortic Arch Aneurysm With Chimney Technique Wei-Tao Liang, MD, Su Wang, MD, Jian Zhou, MD, Chen-Jun Han,

Migration of endovascular plug in hybrid repair of dysphagia lusoria

Pan-aortic hybrid treatment of mega-aorta syndrome

Brian M. Cardis, MD, Derek A. Fyfe, MD, PhD, William T. Mahle, MD

Supra-aortic hybrid endovascular procedures for complex thoracic aortic disease: Single center early to midterm results Yiu Che Chan, BSc MB, BS, MD,

Hybrid Repair of Thoracoabdominal Aneurysm: A Two-Stage Approach

Endovascular repair of a penetrating thoracic aortic ulcer by way of the carotid artery Michael J Heidenreich, MD, David G Neschis, MD, Michael J Costanza,

John Yap, Phillip A.R Hayward, Christopher Lincoln

Invited Commentary The Annals of Thoracic Surgery

Hybrid Debranching With Endovascular Repair for Thoracoabdominal Aneurysms: A Comparison With Open Repair Himanshu J. Patel, MD, Gilbert R. Upchurch,

Bradley G. Leshnower, MD, Ravi K. Veeraswamy, MD, Yazan M

Igor E Konstantinov, MD, Francisco J Puga, MD

Shelby Kutty, MD, Roy K. Greenberg, MD, Scott Fletcher, MD, Lars G

Andrew Auerbach, MD, David H. Roberts, MD, Sidhu P

Reevaluating the Need for Left Subclavian Artery Revascularization With Thoracic Endovascular Aortic Repair T. Brett Reece, MD, Leo M. Gazoni, MD, Kenneth.

Endovascular repair of a Kommerell's diverticulum in a patient with a left-sided aortic arch and right-sided descending thoracic aorta Paul J. Riesenman,

Hybrid Repair of an Aortic Arch Aneurysm Using Double Parallel Grafts Perfused by Retrograde Flow in Endovascular Repair Combined With Left Subclavian.

Combined Endovascular and Surgical Procedure for Recurrent Thoracoabdominal Aortic Aneurysm Masato Yoshida, MD, Nobuhiko Mukohara, MD, Tsutomu Shida,

Experience With Bovine Pericardium for the Reconstruction of the Aortic Arch in Patients Undergoing a Norwood Procedure Victor O. Morell, MD, Peter A.

Type B Aortic Dissection After the Use of Tadalafil

Traumatic Partial Avulsion of a Single Right Subclavian Artery from the Aortic Arch and Definitive Repair Emmanouil I. Kapetanakis, MD, Pamela Sears-Rogan,

The Annals of Thoracic Surgery

Anterior Approach to Traumatic Mid Aortic Arch Transection

Yiwu Liang, MD, Qiwen Zhou, MD, Ziying Chen, MD

Ascending Aortic Extension for Enlargement of the Aortopulmonary Space in Children with Pulmonary Artery Stenosis Craig J. Baker, MD, Winfield J. Wells,

Presentation transcript:

Evolution in the Management of Aberrant Subclavian Arteries and Related Kommerell Diverticulum Guido H.W. van Bogerijen, MD, Himanshu J. Patel, MD, Jonathan L. Eliason, MD, Enrique Criado, MD, David M. Williams, MD, Jordan Knepper, MD, Bo Yang, MD, PhD, G. Michael Deeb, MD The Annals of Thoracic Surgery Volume 100, Issue 1, Pages 47-53 (July 2015) DOI: 10.1016/j.athoracsur.2015.02.027 Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 This 58-year-old female patient presented with subacute type B intramural hematoma and aberrant right subclavian artery and was treated with bilateral carotid-subclavian arterial bypasses and thoracic endovascular aortic repair (TEVAR). (A) Three-dimensional (3D) reconstruction of the preoperative situation; the aberrant right subclavian artery originates as fourth supra-aortic vessel from the dorsal side of the thoracic aorta. (B) After bilateral subclavian artery revascularization and TEVAR, this 3D reconstruction shows successful exclusion of both subclavian artery origins. The Annals of Thoracic Surgery 2015 100, 47-53DOI: (10.1016/j.athoracsur.2015.02.027) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 This 63-year-old male patient presented with dysphagia lusoria caused by an aberrant right subclavian artery and Kommerell diverticulum with tracheoesophageal compression. (A) Preoperative three-dimensional (3D) reconstruction demonstrates a bovine trunk and an aberrant right subclavian artery that emanates as last supra-aortic vessel from the dorsal side of the thoracic aorta. (B) Preoperative computed tomographic imaging shows that the aberrant right subclavian artery with Kommerell diverticulum (18 mm) crossing the midline causes tracheoesophageal compression. (C) Post TEVAR 3D reconstruction shows exclusion of the aberrant right subclavian artery. The Annals of Thoracic Surgery 2015 100, 47-53DOI: (10.1016/j.athoracsur.2015.02.027) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 This 34-year-old male patient with right-sided aortic arch, complete vascular ring, and progressive dysphagia lusoria was treated with bilateral subclavian artery revascularization followed by TEVAR. (A) Preoperative three-dimensional reconstruction of the aorta shows the Kommerell diverticulum (22 mm) of the aberrant left subclavian artery. (B) Preoperative computed tomographic (CT) imaging shows the right-sided aortic arch with vascular ring. (C) Post TEVAR CT imaging shows an intact vascular ring, but excluded Kommerell diverticulum. This patient had persisting dysphagia and underwent therefore division of his ligamentum arteriosum to relieve the vascular ring. Despite this second intervention, his symptoms persisted and further evaluation suggested esophageal dysmotility, potentially caused by longstanding esophageal obstruction, as the etiology of his complaints. The Annals of Thoracic Surgery 2015 100, 47-53DOI: (10.1016/j.athoracsur.2015.02.027) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 The evolution toward endovascular and hybrid approaches is demonstrated, with 80% of the procedures for the management of aberrant subclavian arteries and related Kommerell diverticulum being endovascular or hybrid approaches in the last 5 years (2010 to 2014). The Annals of Thoracic Surgery 2015 100, 47-53DOI: (10.1016/j.athoracsur.2015.02.027) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions