Case Report: Kommerell's diverticulum and left aberrant subclavian artery stenosis hybrid treatment with branched aortic stent-graft
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 person...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-12-01
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| Series: | Frontiers in Cardiovascular Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fcvm.2023.1309839/full |
| _version_ | 1797393394453970944 |
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| author | Álvaro Rodríguez-Pérez Cristina Tello-Diaz A. Carolina Vergara-Budding Constanza Fernández-Vinzenzi Abdel Hakim Moustafa Abdel Hakim Moustafa Cesar Acebes Pinilla Antonino Ginel-Iglesias Antonio J. Barros-Membrilla Jaime Felix Dilme-Muñoz |
| author_facet | Álvaro Rodríguez-Pérez Cristina Tello-Diaz A. Carolina Vergara-Budding Constanza Fernández-Vinzenzi Abdel Hakim Moustafa Abdel Hakim Moustafa Cesar Acebes Pinilla Antonino Ginel-Iglesias Antonio J. Barros-Membrilla Jaime Felix Dilme-Muñoz |
| author_sort | Álvaro Rodríguez-Pérez |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-09T00:02:53Z |
| format | Article |
| id | doaj.art-4d862c6385e6408fa23b133f2179ede6 |
| institution | Directory Open Access Journal |
| issn | 2297-055X |
| language | English |
| last_indexed | 2024-03-09T00:02:53Z |
| publishDate | 2023-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Cardiovascular Medicine |
| spelling | doaj.art-4d862c6385e6408fa23b133f2179ede62023-12-12T14:34:02ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2023-12-011010.3389/fcvm.2023.13098391309839Case Report: Kommerell's diverticulum and left aberrant subclavian artery stenosis hybrid treatment with branched aortic stent-graftÁlvaro Rodríguez-Pérez0Cristina Tello-Diaz1A. Carolina Vergara-Budding2Constanza Fernández-Vinzenzi3Abdel Hakim Moustafa4Abdel Hakim Moustafa5Cesar Acebes Pinilla6Antonino Ginel-Iglesias7Antonio J. Barros-Membrilla8Jaime Felix Dilme-Muñoz9Cardiology Department, Hospital de la Santa Creu I Sant Pau, UAB, IIB Sant Pau, CIBERCV ISCIII, Barcelona, SpainDepartment of Vascular and Endovascular Surgery, Hospital de la Santa Creu I Sant Pau, Institute of Biomedical Research (II-B Sant Pau), CIBER CV, UAB, Barcelona, SpainCardiology Department, Hospital de la Santa Creu I Sant Pau, UAB, IIB Sant Pau, CIBERCV ISCIII, Barcelona, SpainCardiac Surgery Department, Hospital de la Santa Creu I Sant Pau, UAB, Barcelona, SpainCardiology Department, Hospital de la Santa Creu I Sant Pau, UAB, IIB Sant Pau, CIBERCV ISCIII, Barcelona, SpainDimension Lab, Hospital de la Santa Creu I Sant Pau, UAB, Barcelona, SpainDimension Lab, Hospital de la Santa Creu I Sant Pau, UAB, Barcelona, SpainCardiac Surgery Department, Hospital de la Santa Creu I Sant Pau, UAB, Barcelona, SpainCardiology Department, Hospital de la Santa Creu I Sant Pau, UAB, IIB Sant Pau, CIBERCV ISCIII, Barcelona, SpainDepartment of Vascular and Endovascular Surgery, Hospital de la Santa Creu I Sant Pau, Institute of Biomedical Research (II-B Sant Pau), CIBER CV, UAB, Barcelona, SpainKommerell'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.https://www.frontiersin.org/articles/10.3389/fcvm.2023.1309839/fullKommerell's diverticulumaberrant subclavian arterysubclavian steal syndromebranched aortic stent-graftright aortic archhybrid endovascular treatment |
| spellingShingle | Álvaro Rodríguez-Pérez Cristina Tello-Diaz A. Carolina Vergara-Budding Constanza Fernández-Vinzenzi Abdel Hakim Moustafa Abdel Hakim Moustafa Cesar Acebes Pinilla Antonino Ginel-Iglesias Antonio J. Barros-Membrilla Jaime Felix Dilme-Muñoz Case Report: Kommerell's diverticulum and left aberrant subclavian artery stenosis hybrid treatment with branched aortic stent-graft Frontiers in Cardiovascular Medicine Kommerell's diverticulum aberrant subclavian artery subclavian steal syndrome branched aortic stent-graft right aortic arch hybrid endovascular treatment |
| title | Case Report: Kommerell's diverticulum and left aberrant subclavian artery stenosis hybrid treatment with branched aortic stent-graft |
| title_full | Case Report: Kommerell's diverticulum and left aberrant subclavian artery stenosis hybrid treatment with branched aortic stent-graft |
| title_fullStr | Case Report: Kommerell's diverticulum and left aberrant subclavian artery stenosis hybrid treatment with branched aortic stent-graft |
| title_full_unstemmed | Case Report: Kommerell's diverticulum and left aberrant subclavian artery stenosis hybrid treatment with branched aortic stent-graft |
| title_short | Case Report: Kommerell's diverticulum and left aberrant subclavian artery stenosis hybrid treatment with branched aortic stent-graft |
| title_sort | case report kommerell s diverticulum and left aberrant subclavian artery stenosis hybrid treatment with branched aortic stent graft |
| topic | Kommerell's diverticulum aberrant subclavian artery subclavian steal syndrome branched aortic stent-graft right aortic arch hybrid endovascular treatment |
| url | https://www.frontiersin.org/articles/10.3389/fcvm.2023.1309839/full |
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