Journal of Vascular Medicine & Surgery

Abstract

Successful 36 Months Result of Debranching TEVAR for Kommerell’s Diverticulm with the Aberrant Left Subclavian Artery

Hideaki Takai, Satoshi Kawaguchi, Tsuyoshi Yamabe and Hiroaki Tanabe

A case of successful endovascular repair of right aortic arch with the aberrant left subclavian artery (ALSA) arising from Kommerell’s diverticulum (KD). Our strategy consisted of coil embolization for the orifice of the ALSA, put the bypass between left common carotid artery and left subclavian artery and exclusion of KD by stent graft insertion. Enhanced computed tomography scan 36 months after the operation showed successful exclusion of KD, patency of the bypass graft, and no evidence of endoleak. Endovascular repair can be a safe and effective treatment for aortic disease with challenging anatomy in the midterm, avoiding the need for a complex open surgery procedure. It is very rare in this successful case with midterm result we presented.