Kommerell's diverticulum in association with left or right aberrant subclavian arteries is a rare finding and is challenging to treat. Contemporary surgical and endovascular techniques provide a broad arsenal of possible treatments. Imaging techniques and modeling technology allow a more personalized strategy for each patient. In this case, we present a symptomatic patient with a Kommerell's diverticulum and a left aberrant subclavian artery complicated by proximal stenosis and poststenotic aneurysm. A hybrid technique using a single-branched thoracic stent-graft (Castor, MicroPort Medical, Shanghai, China) in combination with a surgical left subclavian-carotid bypass and endovascular occlusion of the poststenotic aneurysm using a vascular plug device (Amplatzer Vascular Plug, Abbott, Chicago, United States) was performed. This approach was planned and facilitated by the use of a 3D model. Alternative treatment options and the strengths of this approach are briefly reviewed and discussed.
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Rodríguez-Pérez, Á., Tello-Diaz, C., Vergara-Budding, A. C., Fernández-Vinzenzi, C., Hakim Moustafa, A., Acebes Pinilla, C., … Dilme-Muñoz, J. F. (2023). Case Report: Kommerell’s diverticulum and left aberrant subclavian artery stenosis hybrid treatment with branched aortic stent-graft. Frontiers in Cardiovascular Medicine, 10. https://doi.org/10.3389/fcvm.2023.1309839
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