23 March 2021 : Review article
A Systematic Review of Total Thoracic Endovascular Aortic Repair in Treatment of Kommerell Diverticulum Combined with Right-Sided Aortic Arch
Weijian Fan12BCEF, Jinyun Tan3BCD, Weihao Shi3CDE, Jianjie Rong1ABC*, Bo Yu23ABGDOI: 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.
| Author | Year | Case(s) | Age | Gender | Symptoms | Comorbidities |
|---|---|---|---|---|---|---|
| Okada et al | 2000 | 1 | 76 | M | Hoarseness | Coronary heart diseases |
| Naoum et al | 2008 | 1 | 58 | M | Intermittent back pain | Smoking, mental diseases |
| Klonaris et al | 2009 | 1 | 76 | M | Asymptomatic | HP, DM, hyperlipidemia and COPD |
| Hirofumi et al | 2009 | 1 | 74 | M | Hoarseness | Smoking |
| Motoki et al | 2013 | 1 | 47 | F | Rupture | Nr |
| Silveira et al | 2013 | 1 | 75 | M | interscapular back pain | HP, hyperlipidemia and smoking |
| Anderson et al | 2013 | 1 | 69 | F | Intermittent back pain | HP |
| Zhou et al | 2013 | 1 | 65 | M | Severe chest pain | Nr |
| Hao he et al | 2014 | 1 | 69 | M | Severe chest pain | HP |
| Monaco et al | 2014 | 1 | 76 | M | Asymptomatic | Coronary heart diseases, chronic renal failure, COPD |
| Mi et al | 2014 | 1 | 68 | M | Intermittent back pain | Nr |
| Gao et al | 2015 | 1 | 65 | M | Asymptomatic | HP |
| Kazuno et al | 2016 | 1 | 74 | M | Dysphagia and hoarseness | HP |
| Hai et al | 2016 | 1 | 57 | F | Dysphagia | Nr |
| Hara et al | 2017 | 1 | 76 | F | Asymptomatic | Peripheral arterial diseases |
| Hamady et al | 2017 | 1 | 78 | M | Dysphagia | Coronary heart diseases, HP, hyperlipidemia, hypothyroidism |
| Shingaki et al | 2018 | 1 | 83 | F | Asymptomatic | DM |
| Li et al | 2019 | 1 | 39 | M | Severe chest pain | Nr |
| Anirudh et al | 2019 | 10 | 71±10 | 5 M & 5 F | 4 Asymptomatic, 3 dysphagia, 3 severe chest pain | 10 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. | ||||||
| Author | Size of KD (mm) | Morphology of aorta | Type of stent graft | Treatment to ALSA | F/U time | Undesirable prognosis |
| Okada et al | 60 | KD+RAA+ occluded LSA | Handmade stent graft | None | 6 weeks | None |
| Naoum et al | 65 | KD+RAA+ALSA | TAG™, Gore | Bypass | 17 months | None |
| Klonaris et al | 23 | KD+RAA+ALSA+AAA | Zenith™, COOK | None | 18 months | None |
| Hirofumi et al | 42 | KD+RAA+ALSA | TAG™, Gore | Coils embolization | NR | None |
| Motoki et al | 35 | KD+RAA+ALSA | TAG™, Gore | Bypass | 3 months | None |
| Silveira et al | 40 | KD+RAA+ALSA | Valiant™, Medtronic | Customized branching | 12 months | None |
| Anderson et al | 20 | KD+RAA+ALSA | TAG™, Gore | Plug embolization | 28 months | None |
| Zhou et al | Nr | AD+KD+RAA+ALSA | Talent™, Medtronic | None | 18 months | Type II endoleak |
| Hao he et al | 50 | AD+KD+RAA+ALSA | Zenith™, COOK | Coils embolization | 12 months | None |
| Monaco et al | 67 | KD+RAA+ALSA | AVE™, Medtronic | Plug embolization | 12 months | None |
| Mi et al | 39 | KD+RAA+ALSA | Grikin™, China | Plug embolization | 6 months | None |
| Gao et al | 40 | KD+RAA+ALSA | Hercules™, Microport | Plug embolization | 1 month | Differences in upper limbs blood pressure |
| Kazuno et al | 33 | KD+RAA+ALSA | TAG™, Gore | Plug embolization | 4 months | None |
| Hai et al | 53 | KD+RAA+ALSA | TAG™, Gore | Coils and plug embolization | NR | None |
| Hara et al | 48 | KD+RAA+ALSA | TAG™, Gore | Coils embolization | 5 years | None |
| Hamady et al | 40 | KD+RAA+ALSA | Customized stent graft | Bypass | 18 months | None |
| Shingaki et al | 51 | KD+RAA+ALSA | Valiant™, Medtronic | In-situ revascularization | 6 months | None |
| Li et al | 48 | AD+KD+RAA+ALSA | castor™, Medtech | In-situ revascularization | 6 months | None |
| Anirudh et al | 32 ± 18 | KD+RAA+ALSA (3 dissections) | NR | Coils embolization | 2 months | 3 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. | ||||||