醫學研究

胸主動脈病變 Cardiothoracic diseases

Coil Embolization of Diverticulum of Kommerell: A Targeted Hybrid Endovascular Technique

 

Yu PS, Yu SC, Ng CT, Kwok MW, Chow SC, Ho JY, Underwood MJ, Wong RH.  Ann Thorac Surg. 2016 May;101(5):e139-41. doi: 10.1016/j.athoracsur.2015.10.024. PMID: 27106460.

 

Abstract

 

A 57-year-old man was incidentally found to have a dissected diverticulum of Kommerell originating from aberrant origin of right subclavian artery during follow-up for treated colon cancer. A right carotid-axillary bypass was followed by embolization of aberrant artery and the diverticulum by deployment of multiple detachable coils using the Penumbra Ruby System (Penumbra, Alameda, CA). Angiography after embolization showed exclusion of flow to the aberrant artery and a patent right carotid-axillary bypass. The patient recovered uneventfully and remained well for 12 weeks after the operation, without any complications. We believe this targeted endovascular approach can avoid complications related to the coverage of thoracic aorta and reduce the risk of access vessel trauma.

 

 

Citation:

Yu PS, Yu SC, Ng CT, Kwok MW, Chow SC, Ho JY, Underwood MJ, Wong RH. Coil Embolization of Diverticulum of Kommerell: A Targeted Hybrid Endovascular Technique. Ann Thorac Surg. 2016 May;101(5):e139-41. doi: 10.1016/j.athoracsur.2015.10.024. PMID: 27106460
 

https://pubmed.ncbi.nlm.nih.gov/27106460/

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