Hybrid repair of Kommerell's diverticulum with aberrant subclavian artery

Journal of Vascular Surgery Cases and Innovative Techniques 2026 Open access

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Authors: Christian H. Summa, Christopher A. DeMaioribus, Daniel Swink, Joseph AbouAyash, Shivprasad Nikam, Boyoung Song, Evan Joseph Ryer, Melissa A. Obmann
DOI: 10.1016/j.jvscit.2026.102129
Cited by: 1
References: 8

Abstract

Kommerell's diverticulum (KD) is a rare aortic arch anomaly associated with aberrant subclavian arteries and risk of rupture. We present an 80-year-old woman with a right-sided aortic arch and aberrant left subclavian artery arising from a 5.0-cm KD. A staged hybrid repair was performed: right carotid-subclavian bypass, thoracic endovascular aortic repair, and embolization of the aberrant subclavian artery. Postoperative imaging confirmed complete exclusion of the diverticulum and a patent bypass graft. This case illustrates the safety and effectiveness of hybrid repair for KD in complex arch anatomy, offering a less invasive alternative to open surgery.

Fields of Study & Subjects

Aortic Disease and Treatment Approaches Tracheal and airway disorders Congenital Heart Disease Studies

Publication details

Journal / source
Journal of Vascular Surgery Cases and Innovative Techniques
Publisher
Elsevier BV
Volume
12
Issue
2
Pages
102129–102129
Publication date
6 January 2026
Language
EN