Department of Cardiac Surgery, Thoracic and Vascular Sciences, and Public Health, University of Padua, Padua, Italy.
Department of Cardiac Surgery, Thoracic and Vascular Sciences, and Public Health, University of Padua, Padua, Italy.
Ann Vasc Surg. 2021 May;73:529-531. doi: 10.1016/j.avsg.2020.12.017. Epub 2021 Jan 24.
Kommerell diverticulum can be associated to several types of vascular rings, including double aortic arch. Surgical indications for vascular rings and Kommerell diverticulum include bulging symptoms onto trachea and esophagus too. Moreover, the aneurysmal enlargement over time can eventually cause acute aortic syndromes. Management of this pathology in adulthood is challenging and many techniques have been proposed, notably hybrid solutions. Herein, we report the case of a patient, who underwent redo surgery with frozen elephant trunk technique, caused by persisting symptoms after a previous operation of vascular ring interruption.
Kommerell 憩室可与多种类型的血管环相关，包括双主动脉弓。血管环和 Kommerell 憩室的手术适应证包括向气管和食管膨出的症状。此外，随着时间的推移，动脉瘤的扩大最终可能导致急性主动脉综合征。成人期这种病理学的处理具有挑战性，已经提出了许多技术，特别是混合解决方案。在此，我们报告了一例患者的病例，该患者在先前的血管环中断手术后仍有症状，随后接受了冷冻象鼻技术的再次手术。
