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Hybrid repair of a Kommerell diverticulum associated with a right aortic arch and a left descending aorta  Hiroyuki Kawajiri, MD, Hideyuki Shimizu, MD,

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Presentation on theme: "Hybrid repair of a Kommerell diverticulum associated with a right aortic arch and a left descending aorta  Hiroyuki Kawajiri, MD, Hideyuki Shimizu, MD,"— Presentation transcript:

1 Hybrid repair of a Kommerell diverticulum associated with a right aortic arch and a left descending aorta  Hiroyuki Kawajiri, MD, Hideyuki Shimizu, MD, PhD, Akihiro Yoshitake, MD, PhD, Ryohei Yozu, MD, PhD  Journal of Vascular Surgery  Volume 56, Issue 6, Pages (December 2012) DOI: /j.jvs Copyright © 2012 Society for Vascular Surgery Terms and Conditions

2 Fig 1 A, Preoperative computed tomography scan shows the right aortic arch (Ao) connected to the left descending aorta. The trachea overrides the aortic arch. KD, Kommerell diverticulum. B, Two aneurysms are shown as blue-colored areas: a 6.5-cm aneurysmal Kommerell diverticulum (solid arrow), and a 4.0-cm saccular-type aneurysm (dotted arrow; not enhanced because of thromboembolism). Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

3 Fig 2 Handmade quarto-branched composite graft.
Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

4 Fig 3 A, Front view of postoperative computed tomography scan. B, Back view shows a long insertion of an elephant trunk graft. C, Postendovascular treatment computed tomography scan shows complete covering of the aortic arch with the endovascular graft. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

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