Surgical treatment for right aortic arch with Kommerell's diverticulum

Asian Cardiovasc Thorac Ann. 2013 Dec;21(6):724-6. doi: 10.1177/0218492312463569. Epub 2013 Jul 9.

Abstract

Kommerell's diverticulum causes compression of the esophagus between the aberrant origin of the left subclavian artery and ascending aorta, leading to dysphagia or dyspnea. We describe 3 cases of successful surgical treatment of right aortic arch with Kommerell's diverticulum and aberrant origin of the left subclavian artery, using a right anterolateral partial sternotomy. This allows both resection of the Kommerell's diverticulum as well as reconstruction of the aberrant origin of the left subclavian artery anatomically.

Keywords: Aneurysm; aorta; diverticulum; subclavian artery; thoracic.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aneurysm / diagnosis
  • Aneurysm / surgery*
  • Aorta, Thoracic / abnormalities
  • Aorta, Thoracic / surgery*
  • Aortography / methods
  • Blood Vessel Prosthesis Implantation*
  • Cardiovascular Abnormalities / diagnosis
  • Cardiovascular Abnormalities / surgery*
  • Deglutition Disorders / diagnosis
  • Deglutition Disorders / surgery*
  • Diverticulum / diagnosis
  • Diverticulum / surgery*
  • Humans
  • Male
  • Middle Aged
  • Plastic Surgery Procedures*
  • Sternotomy
  • Subclavian Artery / abnormalities*
  • Subclavian Artery / surgery
  • Tomography, X-Ray Computed
  • Treatment Outcome

Supplementary concepts

  • Aberrant subclavian artery