Hao He1, Kai Yao2, Wan Pin Nie2, Zheng Wang2, Qi Liang3, Chang Shu4. 1. Department of Vascular Surgery, The Third Xiangya Hospital of Central South University, Changsha, China. Electronic address: jimmyhehao@gmail.com. 2. Department of Vascular Surgery, The Third Xiangya Hospital of Central South University, Changsha, China. 3. Department of Radiology, The Third Xiangya Hospital of Central South University, Changsha, China. 4. Department of Vascular Surgery, The Second Xiangya Hospital of Central South University, Changsha, China.
Abstract
BACKGROUND: Aortic dissection involving a right-sided aortic arch (RAA) associated with Kommerell's diverticulum is extremely rare and remains a complicated entity for surgical therapy because of its anatomical characteristics. Fewer than 40 cases have been reported in the English language literature to date. METHODS: We reported a case of 69-year-old male patient who presented with acute type B aortic dissection involving an RAA associated with Kommerell's diverticulum, a stent-graft was accurately deployed and embolization of the left subclavian artery. In addition, a review of the literature was performed to examine its clinical presentation and the efficacy of management strategies. RESULTS: One year follow-up showed positive aortic remodeling with exclusion of Kommerell's diverticulum and thrombosis of the false lumen. CONCLUSIONS: An aortic dissection involving an RAA associated with Kommerell's diverticulum is an extremely rare condition. Endovascular therapy is technically feasible when the dissection involves this unusual vascular malformation.
BACKGROUND: Aortic dissection involving a right-sided aortic arch (RAA) associated with Kommerell's diverticulum is extremely rare and remains a complicated entity for surgical therapy because of its anatomical characteristics. Fewer than 40 cases have been reported in the English language literature to date. METHODS: We reported a case of 69-year-old male patient who presented with acute type B aortic dissection involving an RAA associated with Kommerell's diverticulum, a stent-graft was accurately deployed and embolization of the left subclavian artery. In addition, a review of the literature was performed to examine its clinical presentation and the efficacy of management strategies. RESULTS: One year follow-up showed positive aortic remodeling with exclusion of Kommerell's diverticulum and thrombosis of the false lumen. CONCLUSIONS: An aortic dissection involving an RAA associated with Kommerell's diverticulum is an extremely rare condition. Endovascular therapy is technically feasible when the dissection involves this unusual vascular malformation.