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Abstract：
BACKGROUND: Aortic dissection involving a right-sided aortic arch (RAA) associated with Kommerell\'s diverticulum is extremely rare and remains a complicated entity for surgical therapy because of its anatomical characteristics. Fewer than 40 cases have been reported in the English language literature to date.
METHODS: We reported a case of 69-year-old male patient who presented with acute type B aortic dissection involving an RAA associated with Kommerell\'s diverticulum, a stent-graft was accurately deployed and embolization of the left subclavian artery. In addition, a review of the literature was performed to examine its clinical presentation and the efficacy of management strategies.
RESULTS: One year follow-up showed positive aortic remodeling with exclusion of Kommerell\'s diverticulum and thrombosis of the false lumen.
CONCLUSIONS: An aortic dissection involving an RAA associated with Kommerell\'s diverticulum is an extremely rare condition. Endovascular therapy is technically feasible when the dissection involves this unusual vascular malformation.
METHODS: We reported a case of 69-year-old male patient who presented with acute type B aortic dissection involving an RAA associated with Kommerell\'s diverticulum, a stent-graft was accurately deployed and embolization of the left subclavian artery. In addition, a review of the literature was performed to examine its clinical presentation and the efficacy of management strategies.
RESULTS: One year follow-up showed positive aortic remodeling with exclusion of Kommerell\'s diverticulum and thrombosis of the false lumen.
CONCLUSIONS: An aortic dissection involving an RAA associated with Kommerell\'s diverticulum is an extremely rare condition. Endovascular therapy is technically feasible when the dissection involves this unusual vascular malformation.
摘要：
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