A Novel Hybrid Approach to Management of KD: Role of Robotic Surgery

Abstract

The management of Kommerell’s Diverticulum (KD) has been evolving from open repair to a hybrid of open and endovascular repair. While there is no consensus regarding the optimal strategy, the need for less invasive treatment with less morbidity early recovery, and improved quality of life is a common goal for both the patient and the provider.

Keywords

kommerell’s diverticulum aberrant right subclavian TEVAR robotic transposition

Get full access to this article

View all access options for this article.

References

Colpitts

Ragan

Spinosa

Ryan

Mukherjee

. Mid-term results of treating Kommerell’s diverticulum and aberrant subclavian artery anomalies using a patient-centered team approach. Vasc Endovasc Surg. 2023;57(5):504-512. doi:10.1177/15385744231154082

Kim

Cambria

Isselbacher

et al. Contemporary surgical approaches and outcomes in adults with Kommerell diverticulum. Ann Thorac Surg. 2014;98(4):1347-1354.

Tinelli

Ferrer

Giudice

et al. Long-term results of hybrid repair techniques for Kommerell’s diverticulum. J Vasc Surg. 2020;72(4):1213-1221.

Swerdlow

Schermerhorn

. Open and endovascular management of aortic aneurysms. Circ Res. 2019;124(4):647-661.

Bath

D’Oria

Rogers

Lepidi

Lawrence

Woo

. Contemporary outcomes after treatment of aberrant subclavian artery and Kommerell’s diverticulum. J Vasc Surg. 2023;77(5):1339-1348.e6. doi: 10.1016/j.jvs.2023.01.014

Kim

Cambria

Isselbacher

et al. Contemporary surgical approaches and outcomes in adults with Kommerell diverticulum. Ann Thorac Surg. 2014;98(4):1347-1354. doi: 10.1016/j.athoracsur.2014.05.045. Epub 2014 Aug 16. PMID: 25134861.

Koontz

Bhatia

Forbess

Wulkan

. Video-assisted thoracoscopic division of vascular rings in pediatric patients. Am Surg 2005; 71:289–291

Al-Bassam

Saquib Mallick

Al-Qahtani

et al. Thoracoscopic division of vascular rings in infants and children. J Pediatr Surg 2007; 42:1357–1361.

Suematsu

Mora

Mihaljevic

del Nido

. Totally endoscopic robotic-assisted repair of patent ductus arteriosus and vascular ring in children. Ann Thorac Surg 2005;80:2309–2313.

10.

Davide La Regina Prouse

Mongelli

Pini

, Two-step treatment of dysphagia lusoria: robotic-assisted resection of aberrant right subclavian artery following aorti debranching, Eur J Cardio Thorac Surg. 2020;58(5);1093-1094. doi: 10.1093/ejcts/ezaa182