Case Report: Kommerell's diverticulum and left aberrant subclavian artery stenosis hybrid treatment with branched aortic stent-graft

被引:0
|
作者
Rodriguez-Perez, Alvaro [1 ]
Tello-Diaz, Cristina [2 ]
Vergara-Budding, A. Carolina [1 ]
Fernandez-Vinzenzi, Constanza [3 ]
Moustafa, Abdel Hakim [1 ,4 ]
Pinilla, Cesar Acebes [4 ]
Ginel-Iglesias, Antonino [3 ]
Barros-Membrilla, Antonio J. [1 ]
Dilme-Munoz, Jaime Felix [2 ]
机构
[1] Hosp Santa Creu I St Pau, Hosp Santa Creu & St Pau, UAB, IIB St Pau,CIBERCV ISCIII, Barcelona, Spain
[2] UAB, Inst Biomed Res II B St Pau, Dept Vasc & Endovasc Surg, CIBER CV,Hosp Santa Creu & St Pau, Barcelona, Spain
[3] Hosp Santa Creu & Sant Pau, Cardiac Surg Dept, UAB, Barcelona, Spain
[4] Hosp St Creu I St Pau, Hosp Santa Creu & St Pau, UAB, Barcelona, Spain
来源
关键词
Kommerell's diverticulum; aberrant subclavian artery; subclavian steal syndrome; branched aortic stent-graft; right aortic arch; hybrid endovascular treatment;
D O I
暂无
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Kommerell's diverticulum in association with left or right aberrant subclavian arteries is a rare finding and is challenging to treat. Contemporary surgical and endovascular techniques provide a broad arsenal of possible treatments. Imaging techniques and modeling technology allow a more personalized strategy for each patient. In this case, we present a symptomatic patient with a Kommerell's diverticulum and a left aberrant subclavian artery complicated by proximal stenosis and poststenotic aneurysm. A hybrid technique using a single-branched thoracic stent-graft (Castor, MicroPort Medical, Shanghai, China) in combination with a surgical left subclavian-carotid bypass and endovascular occlusion of the poststenotic aneurysm using a vascular plug device (Amplatzer Vascular Plug, Abbott, Chicago, United States) was performed. This approach was planned and facilitated by the use of a 3D model. Alternative treatment options and the strengths of this approach are briefly reviewed and discussed.
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页数:5
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