First MDCT evidence of ruptured aberrant left subclavian artery aneurysm in right aortic arch, Kommerell’s diverticulum and extrapleural hematoma treated by emergency thoracic endovascular aortic repair

https://doi.org/10.4081/monaldi.2020.1322

Authors

Abstract

Spontaneous ruptured aneurysm involving an aberrant subclavian artery with a right-sided aortic arch and Kommerell’s diverticulumis a rare life-threatening condition that can be treated successfully if promptly identified. Multidetector Computed Tomography angiography is the first line imaging modality of thoracic vascular anomalies diagnosis. We report the case of a 74-year-old man suffering from this emergency ondition with mediastinal hematoma mostly extending to the left-side extrapleural cavity. The patient underwent successful emergency thoracic endovascular aortic repair and an Amplatzer vascular plug was placed into the first segment of the ALSA. Post-procedural imaging showed complete exclusion of the aneurysm. Emergency endovascular repair can be effective in such cases.

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Published
2020-09-29
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Issue
Section
Cardiology - Case Reports
Keywords:
Right-sided aortic arch, computed tomography angiography, endovascular repair
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How to Cite
Sica, Giacomo, Giovanni Dialetto, Giorgio Bocchini, Giulia Lassandro, Gaetano Rea, Massimo Muto, and Tullio Valente. 2020. “First MDCT Evidence of Ruptured Aberrant Left Subclavian Artery Aneurysm in Right Aortic Arch, Kommerell’s Diverticulum and Extrapleural Hematoma Treated by Emergency Thoracic Endovascular Aortic Repair”. Monaldi Archives for Chest Disease 90 (4). https://doi.org/10.4081/monaldi.2020.1322.

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