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Coil Embolization of Diverticulum of Kommerell: A Targeted Hybrid Endovascular Technique
Peter S.Y. Yu, MRCS, Simon C.H. Yu, FRCR, Cyrus T.C. Ng, MRCS, Micky W.T. Kwok, FRCS, Simon C.Y. Chow, MRCS, Jacky Y.K. Ho, MRCS, Malcolm J. Underwood, FRCS, Randolph H.L. Wong, FRCS The Annals of Thoracic Surgery Volume 101, Issue 5, Pages e139-e141 (May 2016) DOI: /j.athoracsur Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions
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Fig 1 Computed tomography scan shows (A) the aberrant right subclavian artery (aRSA; dotted circle), (B) the diverticulum of Kommerell (arrowhead), and (C) dissection of the aRSA (arrow). The Annals of Thoracic Surgery , e139-e141DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions
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Fig 2 Intraoperative digital subtraction angiogram shows (A) the diverticulum of Kommerell and the course of the aberrant right subclavian artery (aRSA) and the (B) successful occlusion of flow into the aRSA after deployment of multiple intravascular coils. The Annals of Thoracic Surgery , e139-e141DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions
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Fig 3 (A) Three-dimensional reconstruction of a contrast computed tomography posteroanterior view shows the aberrant right subclavian artery (aRSA) and its associated diverticulum of Kommerell (DoK; dotted white arrow) complicated with acute dissection. (B) Postoperative image shows the aRSA and DoK packed with intravascular coils with complete occlusion of blood flow (white arrow) and a patent right carotid-axillary graft (arrowhead). The Annals of Thoracic Surgery , e139-e141DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions
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