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,

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Presentation transcript:

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, MD, MS, Chase L. Campbell, BS, Mark A. Farber, MD Journal of Vascular Surgery Volume 49, Issue 6, Pages 1577-1579 (June 2009) DOI: 10.1016/j.jvs.2008.12.072 Copyright © 2009 Society for Vascular Surgery Terms and Conditions

Fig 1 Computed tomographic angiography of the chest demonstrates the ascending aorta (AscA), retroesophageal (ReA) portion of the aortic arch, and Kommerell's diverticulum (KD). Journal of Vascular Surgery 2009 49, 1577-1579DOI: (10.1016/j.jvs.2008.12.072) Copyright © 2009 Society for Vascular Surgery Terms and Conditions

Fig 2 Intraoperative angiography during endovascular repair. A, The Kommerell's diverticulum (arrowhead) is illustrated during endograft advancement. B, Completion angiography demonstrates successful exclusion of the diverticulum and patency of the right common carotid to right subclavian artery bypass graft (arrowhead). Journal of Vascular Surgery 2009 49, 1577-1579DOI: (10.1016/j.jvs.2008.12.072) Copyright © 2009 Society for Vascular Surgery Terms and Conditions

Fig 3 Computed tomographic angiography with three-dimensional reconstruction 6 months after thoracic endovascular aneurysm repair (TEVAR). Imaging demonstrates a left-sided aortic arch, retroesophageal aorta, and right-sided descending thoracic aorta in relation to the trachea/bronchi (pink) and esophagus (yellow). Journal of Vascular Surgery 2009 49, 1577-1579DOI: (10.1016/j.jvs.2008.12.072) Copyright © 2009 Society for Vascular Surgery Terms and Conditions