Total endovascular repair of aberrant left subclavian artery with Kommerell's diverticulum using a customized branched device

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• 作者：Pierre Galvagni Silveira ; PhD^a ; ^{pierre.gs@me.com} ; Rafael Narciso Franklin ; MD^b ; Josué ; Rafael Ferreira Cunha ; MD^b ; Thais Torres Neves ; MD^b ; Gilberto Galego Nascimento ; PhD^a ; Cristiano Torres Bortoluzzi ; MD^b
• 刊名：Journal of Vascular Surgery
• 出版年：2013
• 出版时间：April, 2013
• 年：2013
• 卷：57
• 期：4
• 页码：1123-1125
• 全文大小：348 K

文摘

We describe a case of Kommerell¡¯s diverticulum involving the distal portion of a right-sided aortic arch and the origin of an aberrant left subclavian artery (LSA). The patient underwent a total endovascular repair with the use of a modified Valiant endograft (Medtronic, Minneapolis, Minn) to which a branch was attached to keep LSA patency. Postoperative computed tomography showed complete exclusion of the lesion, without endoleaks. The use of ¡°customized off-label¡± devices to treat special conditions was feasible in this case, keeping patency of the LSA without risk of arm claudication or the requirement for a complementary surgical bypass.