Cha Erin, Kanitra John, Foteh Mazin
Texas A&M School of Medicine, Dallas, Texas, USA.
Department of Vascular Surgery, Baylor University Medical Center, Dallas, Texas, USA.
Proc (Bayl Univ Med Cent). 2024 Jul 8;37(6):987-989. doi: 10.1080/08998280.2024.2372757. eCollection 2024.
A Kommerell's diverticulum (KD) is a saccular aneurysmal outpouching at the origin of an aberrant subclavian artery. Due to a lack of data in the literature, there are no standardized guidelines for management of KD, and the diverse presentation of associated aberrant anatomy complicates evaluating the best modality of treatment. We present a 74-year-old woman who had a uniquely aberrant aortic arch with an aberrant retroesophageal right subclavian artery associated with a KD and a saccular aneurysm off the left subclavian artery who was treated via a hybrid approach, demonstrating the feasibility of this treatment modality in a patient with unique aberrant arch anatomy.
Kommerell憩室（KD）是一种位于异常锁骨下动脉起始处的囊状动脉瘤样突出。由于文献中缺乏数据，目前尚无KD管理的标准化指南，且相关异常解剖结构的多样表现使得评估最佳治疗方式变得复杂。我们报告一名74岁女性，其具有独特的异常主动脉弓，伴有一条异常的食管后右锁骨下动脉，与一个KD相关，并且在左锁骨下动脉处有一个囊状动脉瘤，该患者通过杂交手术进行了治疗，证明了这种治疗方式在具有独特异常弓解剖结构患者中的可行性。
