Hybrid Repair of Type B Dissecting Aneurysm with Associated Kommerell’s Diverticulum

Abstract

Endovascular therapy has revolutionised vascular surgery. Complex open surgical procedures may be replaced with a combination of extra-anatomical reconstruction and endovascular treatment. This minimally invasive approach is associated with a lower peri-operative morbidity and mortality than open repair. We describe a novel 2-stage treatment in a patient with Type B thoracic aortic dissection with subsequent aneurysmal dilatation and the added difficulty of a concomitant aneurysmal aberrant right subclavian artery (Kommerell’s diverticulum).

Key Words:

• Aberrant right subclavian artery
• aortic dissection
• stentgraft
• hybrid procedure
• Kommerell’s diverticulum

Additional information

Notes on contributors

P.R. Taylor

P. R. Taylor, M.A., M.Chir., F.R.C.S. Consultant Vascular and Endovascular Surgeon Department of Surgery 1st Floor North Wing St. Thomas’ Hospital Lambeth Palace Road London SE1 7EH, UK Tel.: [phone] Fax: [phone] E-mail: [email protected]