Nagata Tomoki, Yamada Takashi, Iwakoshi Shinichi, Johno Hiroyuki
Department of Cardiovascular Surgery, Takaishi Fujii Cardiovascular Hospital, Takaishi-shi, Osaka, Japan.
Department of Cardiology, Takaishi Fujii Cardiovascular Hospital, Takaishi-shi, Osaka, Japan.
J Card Surg. 2020 Sep;35(9):2407-2409. doi: 10.1111/jocs.14795. Epub 2020 Jul 11.
A Kommerell diverticulum (KD) and aberrant subclavian artery (ASA) are an aortic vascular anomaly.
We describe a case of a KD with a right ASA and two asymptomatic thoracic saccular aortic aneurysms in an 83-year-old man, which were treated with a total arch replacement, frozen elephant trunk technique, and staged thoracic endovascular aortic repair.
Some reports on the treatment of a KD and ASA have been reported thus far in the literature. However, it is considered rare to find two asymptomatic thoracic saccular aortic aneurysms coexisting with a KD in a patient over 80 years old, as was discovered in this patient.
Kommerell憩室（KD）和迷走锁骨下动脉（ASA）是一种主动脉血管异常。
我们描述了一例83岁男性患者，患有右侧ASA的KD和两个无症状的胸段囊状主动脉瘤，采用全弓置换术、“象鼻”技术和分期胸段血管腔内主动脉修复术进行治疗。
迄今为止，文献中已有一些关于KD和ASA治疗的报道。然而，正如该患者所发现的，80岁以上患者中同时存在KD和两个无症状胸段囊状主动脉瘤的情况较为罕见。
