Intraoperative Retrograde Tevar To Control Endoleak After Emergent Total Arch Replacement And Frozen Elephant Trunk Repair For Ruptured Kommerell'S Diverticulum

We report an emergent complex hybrid repair of a type A intramural hematoma with a tear of the aortic arch at the site of Kommerell's diverticulum and an aberrant right subclavian artery. We identified a type IA endoleak intraoperatively, which was managed immediately with proximal extension. Performing this operation in the hybrid operating room facilitated optimal surgical management.