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Year : 2022  |  Volume : 5  |  Issue : 4  |  Page : 116-119

Right aberrant subclavian artery with Kommerell's diverticulum, hybrid treatment

Department of Vascular and Endovascular Surgery, San Giovanni Bosco Hospital, Torino, Italy

Correspondence Address:
Dr. Diego Moniaci
San Giovanni Bosco Hospital, Torino
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2589-9686.376923

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Kommerell's diverticulum (KD) is a diverticular formation of the aortic arch located at the origin of an aberrant subclavian artery (ASA). KD is an extremely rare development abnormality of the aortic arch related to an ASA. KD is also known as “lusoria diverticulum” referring to the aneurysm dilatation of the descending aorta at the origin of ASA. This article reports one case of ASA with KD treated with a hybrid approach endovascular aortic repair with a custom-made endograft (Najuta® endograft) and bilateral axillary–carotid bypass with a 6-mm ePTFE graft. European Society for Vascular Surgery (ESVS) guidelines consider it eligible for treatment KD with a diameter ≥5.5 cm and aneurismatic ASA ≥3 cm. A standardized approach for any KD is unlikely to exist because the better treatment should be individualized and properly applied in an experienced vascular center able to offer all treatment strategies (open, endovascular, or hybrid). To date, the use of new techniques and the development of new materials have made possible ad endovascular approach to ASA with Kommerel's diverticulum.

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