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采用异常左锁骨下动脉栓塞术对Kommerell憩室进行杂交修复术。

Hybrid Repair of Kommerell's Diverticulum with Embolization of Aberrant Left Subclavian Artery.

作者信息

Matsumori Masamichi, Kawashima Motoharu, Nomura Yoshikatsu, Murakami Hirohisa, Mukohara Nobuhiko

机构信息

Department of Cardiovascular Surgery, Hyogo Brain And Heart Center At Himeji, Himeji, Hyogo, Japan.

出版信息

Ann Vasc Dis. 2020 Jun 25;13(2):191-193. doi: 10.3400/avd.cr.20-00021.

DOI:10.3400/avd.cr.20-00021
PMID:32595799
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7315248/
Abstract

An asymptomatic 70-year-old man presented with Kommerell's diverticulum (KD) and an aberrant left subclavian artery. Computed tomography revealed a KD diameter of 53 mm, severe aortic arch angulation, and no landing zone for thoracic endovascular aortic repair from the arch vessels to the diverticulum. We performed single-stage hybrid repair of KD of the right aortic arch, left carotid-left subclavian artery bypass, and embolization of the subclavian artery, followed by replacement of the descending aorta through deep hypothermic circulatory arrest via right thoracotomy. He was discharged home without any symptoms and remained uneventful at 1 year after the operation.

摘要

一名70岁无症状男性被诊断为Kommerell憩室（KD）及异常左锁骨下动脉。计算机断层扫描显示KD直径为53毫米，主动脉弓严重成角，从弓血管到憩室没有用于胸段血管腔内主动脉修复的着陆区。我们进行了右主动脉弓KD的一期杂交修复、左颈动脉-左锁骨下动脉搭桥及锁骨下动脉栓塞，随后通过右胸切口经深低温停循环置换降主动脉。他出院时无症状，术后1年情况良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29fe/7315248/66ddc05fb0fa/avd-13-2-cr.20-00021-figure02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29fe/7315248/9b1e948dc125/avd-13-2-cr.20-00021-figure01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29fe/7315248/66ddc05fb0fa/avd-13-2-cr.20-00021-figure02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29fe/7315248/9b1e948dc125/avd-13-2-cr.20-00021-figure01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29fe/7315248/66ddc05fb0fa/avd-13-2-cr.20-00021-figure02.jpg

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本文引用的文献

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Single-Stage Hybrid Repair of Right Aortic Arch With Kommerell's Diverticulum.右主动脉弓合并Kommerell憩室的一期杂交修复术
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2
Coil Embolization of Diverticulum of Kommerell: A Targeted Hybrid Endovascular Technique.科默雷尔憩室的弹簧圈栓塞术：一种靶向性杂交血管内技术。
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Kommerell's diverticulum in the current era: a comprehensive review.当代的Kommerell憩室：全面综述
Gen Thorac Cardiovasc Surg. 2015 May;63(5):245-59. doi: 10.1007/s11748-015-0521-3. Epub 2015 Jan 31.
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Contemporary surgical approaches and outcomes in adults with Kommerell diverticulum.成人 Kommerell 憩室的当代手术方法及治疗结果
Ann Thorac Surg. 2014 Oct;98(4):1347-54. doi: 10.1016/j.athoracsur.2014.05.045. Epub 2014 Aug 16.
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Hybrid repair of Kommerell diverticulum.Kommerell 憩室的杂交修复。
J Thorac Cardiovasc Surg. 2014 Mar;147(3):973-6. doi: 10.1016/j.jtcvs.2013.02.063. Epub 2013 Mar 25.
6
Hybrid treatment for ruptured diverticulum of kommerell: a minimally invasive option.科梅尔憩室破裂的杂交治疗：一种微创选择。
Ann Thorac Surg. 2013 Apr;95(4):e95-6. doi: 10.1016/j.athoracsur.2012.09.072.
7
Aberrant subclavian artery and Kommerell aneurysm: surgical treatment with a standard approach.异常锁骨下动脉和科默雷尔动脉瘤：标准入路的手术治疗
J Thorac Cardiovasc Surg. 2007 Apr;133(4):888-92. doi: 10.1016/j.jtcvs.2006.12.005.
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Surgical treatment for Kommerell's diverticulum.科默雷尔憩室的外科治疗。
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