Key result
Endovascular treatment successfully excludes Kommerell's diverticulum without endoleak or dilatation at 5-year follow-up.
Case Report (n=1)
No
Endovascular treatment with stent graft placement and coil embolization is a feasible and effective less-invasive therapy for Kommerell's diverticulum dissection associated with a right-sided aortic arch.
Adds limited evidence for endovascular repair in rare arch anomalies; leaves open need for larger studies before wider adoption.
We report a rare case of type A dissection involving a right-sided aortic arch with an aberrant left subclavian artery originating from Kommerell's diverticulum in a 76-year-old woman. Endovascular treatment for Kommerell's diverticulum including intimal tear of the dissection was performed. At the 5-year follow-up, the patient was doing well, with no endoleak or dilatation of the Kommerell's diverticulum.
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Hara et al. (2017) conducted a case report in Type A dissection involving a right-sided aortic arch with an aberrant left subclavian artery originating from Kommerell's diverticulum (n=1). Endovascular treatment (stent graft placement and coil embolization) was evaluated on Exclusion of Kommerell's diverticulum and absence of endoleak or dilatation. Endovascular treatment successfully excluded the Kommerell's diverticulum and intimal tear, with no endoleak or dilatation observed at the 5-year follow-up.
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