Hara Masanori, Fujii Takeshiro, Kawasaki Muneyasu, Katayanagi Tomoyuki, Okuma Shinnosuke, Shiono Noritsugu, Tokuhiro Keiichi, Watanabe Yoshinori
Division of Cardiovascular Surgery, Toho University Medical Center Omori Hospital, Tokyo, Japan.
Department of Cardiovascular Surgery, Misato Central General Hospital, Misato, Saitama, Japan.
Ann Vasc Dis. 2017 Mar 24;10(1):74-76. doi: 10.3400/avd.cr.16-00101. Epub 2017 Mar 31.
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.
我们报告了一例罕见的A型主动脉夹层病例,患者为一名76岁女性,其右侧主动脉弓伴发自Kommerell憩室的异常左锁骨下动脉受累。对Kommerell憩室进行了包括夹层内膜撕裂在内的血管内治疗。在5年的随访中,患者情况良好,Kommerell憩室无内漏或扩张。