2026-04-17T12:08:39Zhttps://recercat.cat/oai/request

oai:recercat.cat:2072/4767812024-12-24T04:40:43Zcom_2072_98col_2072_378192

00925njm 22002777a 4500 dc Rodríguez-Pérez, Álvaro author Tello-Díaz, Cristina author Vergara-Budding, A. Carolina author Fernández-Vinzenzi, Constanza author Moustafa, Abdel Hakim author Acebes Pinilla, Cesar author Ginel, Antonino author Barros-Membrilla, Antonio J author Dilme, Jaime author Universitat Autònoma de Barcelona author 2023 Kommerell's diverticulum in association with left or right aberrant subclavian arteries is a rare finding and is challenging to treat. Contemporary surgical and endovascular techniques provide a broad arsenal of possible treatments. Imaging techniques and modeling technology allow a more personalized strategy for each patient. In this case, we present a symptomatic patient with a Kommerell's diverticulum and a left aberrant subclavian artery complicated by proximal stenosis and poststenotic aneurysm. A hybrid technique using a single-branched thoracic stent-graft (Castor, MicroPort Medical, Shanghai, China) in combination with a surgical left subclavian-carotid bypass and endovascular occlusion of the poststenotic aneurysm using a vascular plug device (Amplatzer Vascular Plug, Abbott, Chicago, United States) was performed. This approach was planned and facilitated by the use of a 3D model. Alternative treatment options and the strengths of this approach are briefly reviewed and discussed. Aberrant subclavian artery Branched aortic stent-graft Hybrid endovascular treatment Kommerell's diverticulum Right aortic arch Subclavian steal syndrome Case Report : Kommerell's diverticulum and left aberrant subclavian artery stenosis hybrid treatment with branched aortic stent-graft