Work

Ruptured Kommerell Diverticulum and Right-Sided Aortic Arch Treated Using a Non–Patient-Specific Custom-Made Triple Arch Branched Endograft

Year: 2025

Type: article

Abstract: We describe this unique case of a ruptured Kommerell diverticulum treated by adapting a stock-available triple-branched custom-made endograft, nonpatient specific, and bilateral carotid-to-subclavian bypass. The final angiography and the postoperative computed tomographic angiography showed the exclusion of the rupture with excellent endovascular geometric reconstruction and regular patency of all supra-aortic trunks. The patient was extubated on postoperative day 3, and the clinical course was uneventful. This report demonstrates that in extremely selected cases, the adaptation of a non-patient-specific custom-made branched device is feasible and may guarantee excellent results in emergency settings.

Source: Annals of Thoracic Surgery Short Reports

DOI: 10.1016/j.atssr.2025.02.010

Authors: Michele Piazza, Piero Battocchio, Elda Chiara Colacchio

Institution: University of Padua

Language: English

Topic: Aortic Disease and Treatment Approaches

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $975