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23 March 2021: Review Articles

A Systematic Review of Total Thoracic Endovascular Aortic Repair in Treatment of Kommerell Diverticulum Combined with Right-Sided Aortic Arch

Weijian Fan 12BCEF* , Jinyun Tan 3BCD* , Weihao Shi 3CDE , Jianjie Rong 1ABC* , Bo Yu 23ABG*

DOI: 10.12659/MSM.930031

Med Sci Monit 2021; 27:e930031

Table 1 perioperative characteristics of patients divided by symptoms.

VariablesTotal KD patientsN=28Asymptomatic patientsn=9Symptomatic patientsn=19P value
Age (year)69.1±9.973.3±6.767.1±10.50.229
Male18 (64.3%)6 (66.7%)12 (42.9%)0.856
Symptoms19 (67.9%)
Pain10 (35.7%)10 (52.6%)
Dysphagia6 (21.4%)6 (31.6%)
Hoarseness2 (7.1%)2 (10.5%)
Rupture1 (3.6%)1 (5.3%)
Smoker3 (10.7%)1 (11.1%)2 (10.5%)0.963
Hypertension17 (60.7%)5 (55.6%)12 (63.2%)0.701
DM3 (10.7%)1 (11.1%)2 (10.5%)0.963
Hyperlipidemia3 (10.7%)1 (11.1%)2 (10.5%)0.963
CRF2 (7.1%)0 (0%)2 (10.5%)0.313
COPD2 (7.1%)1 (11.1%)1 (5.3%)0.575
Coronary heart disease2 (7.1%)1 (11.1%)1 (5.3%)0.575
Depression1 (3.6%)1 (11.1%)0 (0%)0.139
PAD1 (3.6%)1 (11.1%)0 (0%)0.139
Prior stroke1 (3.6%)0 (0%)1 (5.3%)0.483
Hypothyroidism1 (3.6%)0 (0%)1 (5.3%)0.483
Mean diameter of KD (mm)46.8±11.549.1±12.145.7±11.10.996
Revascularization of ALSA6 (21.4%)1 (11.1%)5 (26.3%)0.359
Embolization of ALSA19 (67.9%)7 (77.8%)12 (42.9%)0.439
Values are presented as mean±standard deviation, median or n (%). KD – Kommerell diverticulum; DM – diabetes mellitus; CRF – chronic renal failure; COPD – chronic obstructive pulmonary disease; PAD – peripheral arterial disease; ALSA – aberrant left subclavian artery.
* P

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750