{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T11:07:20Z","timestamp":1771067240720,"version":"3.50.1"},"reference-count":12,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2022,6,17]],"date-time":"2022-06-17T00:00:00Z","timestamp":1655424000000},"content-version":"vor","delay-in-days":16,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,6,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>A right-sided aortic arch (RAArch) is present in approximately 0.1% of the population. A Kommerell\u2019s diverticulum (KD), a remnant of the dorsal aortic arch usually refers to an aneurysmal aortic enlargement at the origin of an aberrant left subclavian artery (ALSA) and is associated with an increased risk of aortic dissection.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>A 59-year-old female smoker with a history of hypertension and hypercholesterolaemia presented with a 24-hour history of sudden-onset and severe stabbing chest pain radiating to the interscapular region. Physical examination was normal except for bilateral basal crepitations. Computed tomography angiography (CTA) showed a type B aortic dissection in a RAArch with an ALSA arising from KD with a peri-aortic haematoma and haemothorax without any active contrast extravasation. After medical stabilization, a semi-urgent hybrid repair was performed with a right carotid-subclavian bypass, thoracic endovascular aortic repair (TEVAR), a plug in the left subclavian artery, and left carotid-subclavian bypass due to severe ischaemia of the left arm. The postoperative CTA showed patent bypasses, aortic remodelling, and a minimal type IIa endoleak at the level of the ALSA.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>In patients with a type B dissection and KD, hybrid repair including TEVAR is feasible after careful pre-operative assessment of the patient\u2019s unique anatomy and may reduce post-surgical morbidity and mortality compared to open surgery. Prophylactic repair may be considered in patients with an asymptomatic RAArch and KD.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytac238","type":"journal-article","created":{"date-parts":[[2022,6,17]],"date-time":"2022-06-17T03:50:37Z","timestamp":1655437837000},"source":"Crossref","is-referenced-by-count":1,"title":["Right-sided aortic arch with Kommerell\u2019s diverticulum: a case report of a rare cause of type B dissection"],"prefix":"10.1093","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1625-1117","authenticated-orcid":false,"given":"Sami","family":"Marzouki","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Radiology, Ghent University Hospital , Corneel Heymanslaan 10, 9000 Ghent , Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1104-299X","authenticated-orcid":false,"given":"Bernard","family":"Peeters","sequence":"additional","affiliation":[{"name":"Department of Thoracic & Vascular Surgery, Ghent University Hospital , Corneel Heymanslaan 10, 9000 Ghent , Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8721-3003","authenticated-orcid":false,"given":"Sofie","family":"Gevaert","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Ghent University Hospital , Corneel Heymanslaan 10, 9000 Ghent , Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1754-7390","authenticated-orcid":false,"given":"Isabelle","family":"Van Herzeele","sequence":"additional","affiliation":[{"name":"Department of Thoracic & Vascular Surgery, Ghent University Hospital , Corneel Heymanslaan 10, 9000 Ghent , Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2022,6,16]]},"reference":[{"key":"2022062808530154100_ytac238-B1","doi-asserted-by":"crossref","first-page":"722","DOI":"10.1136\/hrt.28.6.722","article-title":"Right-sided aorta. 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