No guidelines for the treatment of Kommerell diverticulum (KD) have been established. Endovascular treatment with arch vessel reconstruction of 4 patients with a right-sided aortic arch and aberrant left subclavian artery are presented herein. A 39-year-old woman and 47-year-old man experienced dyspnea and retrosternal pain. The first patient concomitantly underwent left subclavian transposition and thoracic endovascular aortic repair (TEVAR). The second patient underwent bilateral carotid-subclavian bypass grafting, followed by TEVAR and KD embolization. The 2 other patients were 72- and 75-year old men who presented with KD and type B dissection, in which these conditions were characterized by acute thoracic pain in the former patient and were noted on incidental body scan for prostatic adenocarcinoma in the latter. The third patient underwent carotid-subclavian bypass grafting, followed by TEVAR and subclavian plugs, and in the fourth patient, regular follow-up with antihypertensive therapy was scheduled. After a mean follow-up period of 12 months, all patients were alive.

尚未制定 Kommerell 憩室 (KD) 的治疗指南。本文介绍了 4 例右侧主动脉弓和异常左锁骨下动脉患者的血管内治疗和弓血管重建。一名 39 岁的女性和一名 47 岁的男性出现呼吸困难和胸骨后疼痛。第一位患者同时接受了左锁骨下转位和胸主动脉腔内修复术 (TEVAR)。第二名患者接受了双侧颈动脉-锁骨下动脉旁路移植术，随后进行了 TEVAR 和 KD 栓塞。其他 2 名患者分别为 72 岁和 75 岁的男性，他们患有 KD 和 B 型夹层，前者的这些病症的特征是急性胸痛，后者在偶然的身体扫描中发现有前列腺腺癌。第三名患者接受了颈动脉-锁骨下旁路移植术，随后接受了 TEVAR 和锁骨下动脉栓塞，第四名患者接受了抗高血压治疗的定期随访。平均随访 12 个月后，所有患者均存活。