%0 Case Reports
%T Endovascular Treatment for Acute Type B Aortic Dissection Involving a Right-sided Aortic Arch and Kommerell's Diverticulum: A Case Report and Review of the Literature.
%A He H
%A Yao K
%A Nie WP
%A Wang Z
%A Liang Q
%A Shu C
%J Ann Vasc Surg
%V 29
%N 4
%D 2015
%M 25733222
%F 1.607
%R 10.1016/j.avsg.2014.12.028
%X <B>BACKGROUND: </B>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.<BR><B>METHODS: </B>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.<BR><B>RESULTS: </B>One year follow-up showed positive aortic remodeling with exclusion of Kommerell's diverticulum and thrombosis of the false lumen.<BR><B>CONCLUSIONS: </B>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.