Endovascular Repair for Kommerell Diverticulum with Type A Aortic Dissection

We reported the first total endovascular repair for a Kommerell diverticulum with chronic retrograde type A aortic dissection. We conducted total endovascular repair with a unibody single-branched stent-graft combined with chimney technique for reconstruction of both subclavian arteries. Completion angiography showed complete exclusion of the primary entry tear without endoleak and patency of all stent-grafts, and CTA at follow-up showed significant remodeling of the false lumen. In this case, we show that total endovascular repair is feasible and safe in selective patients of this kind.
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research