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Diagnosis and Management of Aortic Disease

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93 Figure 27. Measurements of Kommerell's Diverticulum Two diameter measurements should be obtained using cross-sectional imaging : the diverticulum orifice (radially and longitudinally at the aortic wall) and the combined diameter of the diverticulum and adjacent descending thoracic aorta (measured from the apex of the diverticulum to the opposite aortic wall). Adapted from Erben, et al. J Vasc Surg. 2020;71:2004-2011. Copyright 2020, with permission from Elsevier, Inc., and the Society for Vascular Surgery. 9.4.2.3. Bovine Arch (Common Innominate and Left Carotid Artery) COR LOE Recommendation 2b C-LD 1. In patients with bovine arch (common innominate and left carotid artery), imaging to assess for TAA may be reasonable.

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