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Random Finding of a Ruptured Kommerell Aneurysm After Stroke
Iannis Ben Abdallah1, Salma El Batti2, Pierre Julia2
1Service de Chirurgie Cardiaque et Vasculaire, Hôpital Européen Georges Pompidou, Paris, France.
Abstract:
The random finding of a ruptured Kommerell aneurysm (rKA) is exceptional. We report the case of a 74-year-old man who received an incidental diagnosis of a contained rKA involving an aberrant right subclavian artery after a stroke. He underwent successful hybrid repair with the use of thoracic endovascular aortic repair associated with cervical debranching of the left subclavian artery and vascular plug occlusion of both subclavian artery origins. Whereas no early adverse event was reported, the patient experienced a vertebrobasilar insufficiency once he had recovered, requiring an additional right carotid-to-subclavian bypass.
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