Successful Two-Staged Surgical Treatment for a Thoracoabdominal Aortic Aneurysm Combined with an Aberrant Right Subclavian Artery, Kommerellfs Diverticulum, and Angina Pectoris

(Department of Vascular Surgery, Tokyo Medical University, Tokyo, Japan)

Yasunori Iida Yukio Obitsu Naozumi Saiki
Nobusato Koizumi Hiroshi Shigematsu
A 72-year-old man with a thoracoabdominal aortic aneurysm combined with an aberrant right subclavian artery, Kommerellfs diverticulum, and angina pectoris during follow-up for peripheral arterial disease was successfully treated surgically by two-staged operation. First, we performed total arch replacement using cardiopulmonary bypass, systemic hypothermia, selective cerebral perfusion, and coronary artery bypass grafting. Secondly, we performed replacement of the thoracoabdominal aortic aneurysm using a partial cardiopulmonary bypass. The postoperative course was uneventful. This is apparently the first case of repair for the thoracoabdominal aortic aneurysm combined with an aberrant right subclavian artery and Kommerellfs diverticulum.
@Jpn. J. Cardiovasc. Surg. 37: 302-305 (2008)