Zavatta Marco, Squizzato Francesco, Dall'Antonia Alberto, Piazza Michele, Antonello Michele
Department of Cardiac, Thoracic and Vascular Sciences, Vascular and Endovascular Surgery Clinic, Padova University, School of Medicine, Padova, Italy.
Aorta (Stamford). 2021 Aug;9(4):158-160. doi: 10.1055/s-0041-1729850. Epub 2021 Oct 29.
We report a case of Kommerell's diverticulum (KD) treated with a total endovascular approach, maintaining supra-aortic trunk (SAT) patency. A 75 year-old female with aneurysmal KD was deemed unsuitable for open surgery. Landing zone 2 was unfeasible; therefore, we planned an endovascular approach with landing in zone 1, chimney to left subclavian artery and periscope to right subclavian artery. Postoperatively she was free from complications, with complete exclusion of KD and SAT patency at 3-year follow-up.
我们报告了一例采用全血管内入路治疗的Kommerell憩室（KD）病例，同时保持主动脉弓上干（SAT）通畅。一名患有动脉瘤样KD的75岁女性被认为不适合进行开放手术。2区着陆不可行；因此，我们计划采用血管内入路，在1区着陆，采用烟囱技术连接左锁骨下动脉，采用潜望镜技术连接右锁骨下动脉。术后她未出现并发症，在3年随访时KD完全被隔绝，SAT保持通畅。
