{Reference Type}: Case Reports
{Title}: 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.
{Author}: He H;Yao K;Nie WP;Wang Z;Liang Q;Shu C;
{Journal}: Ann Vasc Surg
{Volume}: 29
{Issue}: 4
{Year}: 2015
{Factor}: 1.607
{DOI}: 10.1016/j.avsg.2014.12.028
{Abstract}: <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.