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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 2 Characteristics of Kommerell diverticulum with right-sided aortic arch via TEVAR technique in the systematic review.

AuthorYearCase(s)AgeGenderSymptomsComorbidities
Okada et al2000176MHoarsenessCoronary heart diseases
Naoum et al2008158MIntermittent back painSmoking, mental diseases
Klonaris et al2009176MAsymptomaticHP, DM, hyperlipidemia and COPD
Hirofumi et al2009174MHoarsenessSmoking
Motoki et al2013147FRuptureNr
Silveira et al2013175Minterscapular back painHP, hyperlipidemia and smoking
Anderson et al2013169FIntermittent back painHP
Zhou et al2013165MSevere chest painNr
Hao he et al2014169MSevere chest painHP
Monaco et al2014176MAsymptomaticCoronary heart diseases, chronic renal failure, COPD
Mi et al2014168MIntermittent back painNr
Gao et al2015165MAsymptomaticHP
Kazuno et al2016174MDysphagia and hoarsenessHP
Hai et al2016157FDysphagiaNr
Hara et al2017176FAsymptomaticPeripheral arterial diseases
Hamady et al2017178MDysphagiaCoronary heart diseases, HP, hyperlipidemia, hypothyroidism
Shingaki et al2018183FAsymptomaticDM
Li et al2019139MSevere chest painNr
Anirudh et al20191071±105 M & 5 F4 Asymptomatic, 3 dysphagia, 3 severe chest pain10 HP, 1 DM, 2 prior stroke, 1 chronic renal failure
KD – Kommerell diverticulum; RAA – right-sided aortic arch; ALSA – aberrant left subclavian artery; F – Female; M – Male; F/U – follow-up; NR – not reported; HP – hypertension; DM – diabetes mellitus; COPD – chronic obstructive pulmonary diseases.
AuthorSize of KD (mm)Morphology of aortaType of stent graftTreatment to ALSAF/U timeUndesirable prognosis
Okada et al60KD+RAA+ occluded LSAHandmade stent graftNone6 weeksNone
Naoum et al65KD+RAA+ALSATAG™, GoreBypass17 monthsNone
Klonaris et al23KD+RAA+ALSA+AAAZenith™, COOKNone18 monthsNone
Hirofumi et al42KD+RAA+ALSATAG™, GoreCoils embolizationNRNone
Motoki et al35KD+RAA+ALSATAG™, GoreBypass3 monthsNone
Silveira et al40KD+RAA+ALSAValiant™, MedtronicCustomized branching12 monthsNone
Anderson et al20KD+RAA+ALSATAG™, GorePlug embolization28 monthsNone
Zhou et alNrAD+KD+RAA+ALSATalent™, MedtronicNone18 monthsType II endoleak
Hao he et al50AD+KD+RAA+ALSAZenith™, COOKCoils embolization12 monthsNone
Monaco et al67KD+RAA+ALSAAVE™, MedtronicPlug embolization12 monthsNone
Mi et al39KD+RAA+ALSAGrikin™, ChinaPlug embolization6 monthsNone
Gao et al40KD+RAA+ALSAHercules™, MicroportPlug embolization1 monthDifferences in upper limbs blood pressure
Kazuno et al33KD+RAA+ALSATAG™, GorePlug embolization4 monthsNone
Hai et al53KD+RAA+ALSATAG™, GoreCoils and plug embolizationNRNone
Hara et al48KD+RAA+ALSATAG™, GoreCoils embolization5 yearsNone
Hamady et al40KD+RAA+ALSACustomized stent graftBypass18 monthsNone
Shingaki et al51KD+RAA+ALSAValiant™, MedtronicIn-situ revascularization6 monthsNone
Li et al48AD+KD+RAA+ALSAcastor™, MedtechIn-situ revascularization6 monthsNone
Anirudh et al32 ± 18KD+RAA+ALSA (3 dissections)NRCoils embolization2 months3 type II endoleak, 1 stroke, 1 bleeding
KD – Kommerell diverticulum; RAA – right-sided aortic arch; ALSA – aberrant left subclavian artery; F – Female; M – Male; F/U – follow-up; NR – not reported; HP – hypertension; DM – diabetes mellitus; COPD – chronic obstructive pulmonary diseases.

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