2026-04-13T07:11:19Zhttps://recercat.cat/oai/request

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

Case Report : Kommerell's diverticulum and left aberrant subclavian artery stenosis hybrid treatment with branched aortic stent-graft Rodríguez-Pérez, Álvaro Tello-Díaz, Cristina Vergara-Budding, A. Carolina Fernández-Vinzenzi, Constanza Moustafa, Abdel Hakim Acebes Pinilla, Cesar Ginel, Antonino Barros-Membrilla, Antonio J Dilme, Jaime Universitat Autònoma de Barcelona Aberrant subclavian artery Branched aortic stent-graft Hybrid endovascular treatment Kommerell's diverticulum Right aortic arch Subclavian steal syndrome 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. 2023 Article Frontiers in Cardiovascular Medicine ; Vol. 10 (2023), p. 1309839 open access Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original. https://creativecommons.org/licenses/by/4.0/