Hybrid Repair of Type B Dissecting Aneurysm with Associated Kommerell's Diverticulum

Endovascular therapy has revolutionised vascular surgery. Complex open surgical procedures may be replaced with a combination of extra-anatomical reconstruction and endovascular treatment. This minimally invasive approach is associated with a lower peri-operative morbidity and mortality than open repair. We describe a novel 2-stage treatment in a patient with Type B thoracic aortic dissection with subsequent aneurysmal dilatation and the added diffi- culty of a concomitant aneurysmal aberrant right subclavian artery (Kommerell's diverticulum).