{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T12:47:59Z","timestamp":1792759679199,"version":"4.5.0"},"reference-count":9,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,12,12]],"date-time":"2023-12-12T00:00:00Z","timestamp":1702339200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Cardiovasc. Med."],"abstract":"<jats:p>Kommerell's diverticulum in association with left or right aberrant subclavian arteries is a rare finding and is challenging to treat. Contemporary surgical and endovascular techniques provide a broad arsenal of possible treatments. Imaging techniques and modeling technology allow a more personalized strategy for each patient. In this case, we present a symptomatic patient with a Kommerell's diverticulum and a left aberrant subclavian artery complicated by proximal stenosis and poststenotic aneurysm. A hybrid technique using a single-branched thoracic stent-graft (Castor, MicroPort Medical, Shanghai, China) in combination with a surgical left subclavian-carotid bypass and endovascular occlusion of the poststenotic aneurysm using a vascular plug device (Amplatzer Vascular Plug, Abbott, Chicago, United States) was performed. This approach was planned and facilitated by the use of a 3D model. Alternative treatment options and the strengths of this approach are briefly reviewed and discussed.<\/jats:p>","DOI":"10.3389\/fcvm.2023.1309839","type":"journal-article","created":{"date-parts":[[2023,12,12]],"date-time":"2023-12-12T00:42:32Z","timestamp":1702341752000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":4,"title":["Case Report: Kommerell's diverticulum and left aberrant subclavian artery stenosis hybrid treatment with branched aortic stent-graft"],"prefix":"10.3389","volume":"10","author":[{"given":"\u00c1lvaro","family":"Rodr\u00edguez-P\u00e9rez","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristina","family":"Tello-Diaz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A. Carolina","family":"Vergara-Budding","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Constanza","family":"Fern\u00e1ndez-Vinzenzi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdel","family":"Hakim Moustafa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cesar","family":"Acebes Pinilla","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonino","family":"Ginel-Iglesias","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio J.","family":"Barros-Membrilla","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaime Felix","family":"Dilme-Mu\u00f1oz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2023,12,12]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"334","DOI":"10.1161\/CIR.0000000000001106","article-title":"2022 ACC\/AHA guideline for the diagnosis and management of aortic disease: a report of the American heart association\/American college of cardiology joint committee on clinical practice guidelines","volume":"146","author":"Isselbacher","year":"2022","journal-title":"Circulation"},{"key":"B2","doi-asserted-by":"publisher","first-page":"165","DOI":"10.1016\/j.ejvs.2018.09.016","article-title":"Current options and recommendations for the treatment of thoracic aortic pathologies involving the aortic arch: an expert consensus document of the European association for cardio-thoracic surgery (EACTS) & the European society for vascular surgery (ESVS)","volume":"57","author":"Czerny","year":"2019","journal-title":"Eur J Vasc Endovasc"},{"key":"B3","doi-asserted-by":"publisher","first-page":"2004","DOI":"10.1016\/j.jvs.2019.08.260","article-title":"Natural history and management of kommerell\u2019s diverticulum in a single tertiary referral center","volume":"71","author":"Erben","year":"2020","journal-title":"J Vasc Surg"},{"key":"B4","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3390\/jcdd8030025","article-title":"The clinical spectrum of Kommerell\u2019s diverticulum in adults with a right-sided aortic arch: a case series and literature overview","volume":"8","author":"van Rosendael","year":"2021","journal-title":"J Cardiovasc Dev Dis"},{"key":"B5","doi-asserted-by":"publisher","first-page":"34","DOI":"10.20407\/fmj.2020-016","article-title":"Hybrid repair for Kommerell\u2019s diverticulum and right aortic arch with aberrant right vertebral artery","volume":"8","author":"Noda","year":"2022","journal-title":"Fujita Med J"},{"key":"B6","doi-asserted-by":"publisher","first-page":"245","DOI":"10.1007\/s11748-015-0521-3","article-title":"Kommerell\u2019s diverticulum in the current era: a comprehensive review","volume":"63","author":"Tanaka","year":"2015","journal-title":"Gen Thorac Cardiovasc Surg"},{"key":"B7","doi-asserted-by":"publisher","first-page":"636","DOI":"10.1097\/HCO.0000000000000793","article-title":"The aberrant subclavian artery: approach to management","volume":"35","author":"Karangelis","year":"2020","journal-title":"Curr Opin Cardiol"},{"key":"B8","doi-asserted-by":"publisher","first-page":"139","DOI":"10.1177\/1358863X13485985","article-title":"Fully percutaneous treatment of an aberrant right subclavian artery and thoracic aortic aneurysm","volume":"18","author":"Gafoor","year":"2013","journal-title":"Vasc Med"},{"key":"B9","doi-asserted-by":"publisher","first-page":"1123","DOI":"10.1016\/j.jvs.2012.10.008","article-title":"Total endovascular repair of aberrant left subclavian artery with Kommerell\u2019s diverticulum using a customized branched device","volume":"57","author":"Silveira","year":"2013","journal-title":"J Vasc Surg"}],"container-title":["Frontiers in Cardiovascular Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fcvm.2023.1309839\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,12]],"date-time":"2023-12-12T00:42:37Z","timestamp":1702341757000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fcvm.2023.1309839\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12,12]]},"references-count":9,"alternative-id":["10.3389\/fcvm.2023.1309839"],"URL":"https:\/\/doi.org\/10.3389\/fcvm.2023.1309839","relation":{},"ISSN":["2297-055X"],"issn-type":[{"value":"2297-055X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,12,12]]},"article-number":"1309839"}}