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Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
Kommerell's diverticular rupture complicated by aberrant left subclavian artery and right aortic arch successfully
Nobuaki Kaki1, Yoshihito Irie, Ikkoku Hata
1From Department of Cardiovascular Surgery, Koshigaya Hospital, Dokkyo University School of Medicine, Koshigaya, Saitama, Japan.
Abstract:
We report a rare case of a rupture in Kommerell's diverticulum in a 73-year-old woman with Edwards IIIB aberrant left subclavian artery (A-LSA) and right aortic arch. This case was further complicated by an inferior vena cava defect. We performed an emergency operation through a right posterolateral approach. The descending aorta was replaced and the Kommerell's diverticulum was excised, followed by A-LSA reconstruction, performed under deep hypothermia with selective cerebral perfusion. We believe the prognosis was excellent.
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