skip to main content
OSTI.GOV title logo U.S. Department of Energy
Office of Scientific and Technical Information

Title: Endovascular Repair of a Right-Sided Descending Thoracic Aortic Aneurysm Associated with a Right Aortic Arch and a Left Subclavian Artery Arising from a Kommerell's Diverticulum

Abstract

This case report describes the endovascular repair of a right-sided descending thoracic aortic aneurysm associated with a right aortic arch and an aberrant left subclavian artery. A 76-year-old male with multiple comorbidities was incidentally found to have a right-sided descending thoracic aortic aneurysm with a maximum diameter of 6.2 cm. Additionally, there was a right aortic arch with a retroesophageal segment and separate arch branches arising in the following order: left common carotid artery, right common carotid artery, right subclavian artery, and left subclavian artery that was aberrant, arising from a Kommerrell's diverticulum. The aneurysm was successfully excluded by deployment of a Zenith TX1 36 x 32 x 20-mm stent-graft using wire traction technique via the left femoral and right brachial arteries in order to deal with two severe aortic angulations. At 18-month follow-up the patient was doing well, with aneurysm sac shrinkage to 5.9 cm and no signs of endoleak or migration. Endovascular repair of right-sided descending thoracic aortic aneurysms with a right arch and aberrant left subclavian artery is feasible, safe, and effective. In such rare configurations, which demand considerably increased technical dexterity and center experience, endovascular repair emerges as an attractive therapeutic option.

Authors:
; ; ; ; ; ;  [1]
  1. 'LAIKON' Hospital, Athens University Medical School, First Department of Surgery, Vascular Division (Greece)
Publication Date:
OSTI Identifier:
21428521
Resource Type:
Journal Article
Journal Name:
Cardiovascular and Interventional Radiology
Additional Journal Information:
Journal Volume: 32; Journal Issue: 4; Other Information: DOI: 10.1007/s00270-008-9469-3; Copyright (c) 2009 Springer Science+Business Media, LLC and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE); Article Copyright (c) 2008 Springer Science+Business Media, LLC; Journal ID: ISSN 0174-1551
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; CAROTID ARTERIES; CHEST; GRAFTS; REPAIR; TUBES; WIRES; ARTERIES; BLOOD VESSELS; BODY; CARDIOVASCULAR SYSTEM; ORGANS; TRANSPLANTS

Citation Formats

Klonaris, Chris, Avgerinos, Efthimios D, Katsargyris, Athanasios, Matthaiou, Alexandros, Georgopoulos, Sotirios, Psarros, Vasileios, and Bastounis, Elias. Endovascular Repair of a Right-Sided Descending Thoracic Aortic Aneurysm Associated with a Right Aortic Arch and a Left Subclavian Artery Arising from a Kommerell's Diverticulum. United States: N. p., 2009. Web. doi:10.1007/S00270-008-9469-3.
Klonaris, Chris, Avgerinos, Efthimios D, Katsargyris, Athanasios, Matthaiou, Alexandros, Georgopoulos, Sotirios, Psarros, Vasileios, & Bastounis, Elias. Endovascular Repair of a Right-Sided Descending Thoracic Aortic Aneurysm Associated with a Right Aortic Arch and a Left Subclavian Artery Arising from a Kommerell's Diverticulum. United States. https://doi.org/10.1007/S00270-008-9469-3
Klonaris, Chris, Avgerinos, Efthimios D, Katsargyris, Athanasios, Matthaiou, Alexandros, Georgopoulos, Sotirios, Psarros, Vasileios, and Bastounis, Elias. 2009. "Endovascular Repair of a Right-Sided Descending Thoracic Aortic Aneurysm Associated with a Right Aortic Arch and a Left Subclavian Artery Arising from a Kommerell's Diverticulum". United States. https://doi.org/10.1007/S00270-008-9469-3.
@article{osti_21428521,
title = {Endovascular Repair of a Right-Sided Descending Thoracic Aortic Aneurysm Associated with a Right Aortic Arch and a Left Subclavian Artery Arising from a Kommerell's Diverticulum},
author = {Klonaris, Chris and Avgerinos, Efthimios D and Katsargyris, Athanasios and Matthaiou, Alexandros and Georgopoulos, Sotirios and Psarros, Vasileios and Bastounis, Elias},
abstractNote = {This case report describes the endovascular repair of a right-sided descending thoracic aortic aneurysm associated with a right aortic arch and an aberrant left subclavian artery. A 76-year-old male with multiple comorbidities was incidentally found to have a right-sided descending thoracic aortic aneurysm with a maximum diameter of 6.2 cm. Additionally, there was a right aortic arch with a retroesophageal segment and separate arch branches arising in the following order: left common carotid artery, right common carotid artery, right subclavian artery, and left subclavian artery that was aberrant, arising from a Kommerrell's diverticulum. The aneurysm was successfully excluded by deployment of a Zenith TX1 36 x 32 x 20-mm stent-graft using wire traction technique via the left femoral and right brachial arteries in order to deal with two severe aortic angulations. At 18-month follow-up the patient was doing well, with aneurysm sac shrinkage to 5.9 cm and no signs of endoleak or migration. Endovascular repair of right-sided descending thoracic aortic aneurysms with a right arch and aberrant left subclavian artery is feasible, safe, and effective. In such rare configurations, which demand considerably increased technical dexterity and center experience, endovascular repair emerges as an attractive therapeutic option.},
doi = {10.1007/S00270-008-9469-3},
url = {https://www.osti.gov/biblio/21428521}, journal = {Cardiovascular and Interventional Radiology},
issn = {0174-1551},
number = 4,
volume = 32,
place = {United States},
year = {Wed Jul 15 00:00:00 EDT 2009},
month = {Wed Jul 15 00:00:00 EDT 2009}
}