Repair of a Kommerell's diverticulum with an absent left subclavian artery and a right aortic arch

2018 ◽  
Vol 33 (3) ◽  
pp. 149-150
Author(s):  
Takahiro Katsumata ◽  
Shinji Fukuhara ◽  
Masahiro Daimon
Keyword(s):  
Aortic Arch ◽  
Subclavian Artery ◽  
Left Subclavian Artery ◽  
Right Aortic Arch ◽  
Kommerell’S Diverticulum

Right aortic arch with left subclavian artery arising from Kommerell's diverticulum

2006 ◽  
Vol 60 (3) ◽  
pp. 109-111 ◽  
Author(s):  
Ersin Ozturk ◽  
Bulent Karaman ◽  
Guner Sonmez ◽  
Huseyin Onur Sildiroglu ◽  
Hakan Mutlu ◽  
...  
Keyword(s):  
Aortic Arch ◽  
Subclavian Artery ◽  
Left Subclavian Artery ◽  
Right Aortic Arch ◽  
Kommerell’S Diverticulum

scholarly journals Right Aortic Arch and Kommerell’s Diverticulum Repaired without Reconstruction of Aberrant Left Subclavian Artery

2013 ◽  
Vol 2013 ◽  
pp. 1-3
Author(s):  
Hiroshi Osawa ◽  
Daisuke Shinohara ◽  
Kouan Orii ◽  
Shigeru Hosaka ◽  
Shoji Fukuda ◽  
...  
Keyword(s):  
Aortic Arch ◽  
Subclavian Artery ◽  
Left Subclavian Artery ◽  
Ct Imaging ◽  
Right Aortic Arch ◽  
3D Ct ◽  
Operative Strategy ◽  
Aberrant Left Subclavian Artery ◽  
Kommerell’S Diverticulum ◽  
3D Ct Imaging

Right aortic arch with Kommerell’s diverticulum is a very rare situation. Surgical treatment is recommended for symptomatic patients or asymptomatic patients with a large diverticulum. However planning the strategy of operation is difficult without a 3D imaging. We report a case of a 57-year-old man with right aortic arch, Kommerell’s diverticulum, and aberrant left subclavian artery. After a 3D-CT imaging, the patient underwent descending aortic replacement without reconstruction of aberrant left subclavian artery. After operation, there was no signs or symptoms of ischemia of the left arm. If the reconstruction of the aberrant subclavian artery was too difficult, closing its orifice is an acceptable decision. It has been found advantageous because of a decrease blood loss and a shorter cardiopulmonary bypass duration. If an ischemia of the arm is noticed, additional reconstruction will have to be considered. 3D-CT imaging was very useful to have a proper orientation and plan for the operative strategy.

scholarly journals Successful Endovascular Repair of a Kommerell’s Diverticulum and a Right-Sided Aortic Arch

2020 ◽  
Vol 23 (6) ◽  
pp. E860-E862
Author(s):  
Masato Hayakawa ◽  
Takaaki Nagano ◽  
Isao Nishijima ◽  
Kento Shinzato ◽  
Ryo Ikemura ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Aortic Arch ◽  
Subclavian Artery ◽  
Left Subclavian Artery ◽  
Thoracic Endovascular Aortic Repair ◽  
Right Aortic Arch ◽  
Maximum Diameter ◽  
Kommerell’S Diverticulum

Background: A 57-year-old woman was diagnosed with Kommerell’s diverticulum in the setting of a right aortic arch on computed tomography. Case report: Although asymptomatic, the maximum diameter of the aneurysm was 55 mm; thus, she underwent surgery to prevent rupture of the aneurysm. A bypass was constructed from the left common carotid artery to the left subclavian artery. A stent-graft was deployed from the distal right subclavian artery, and coil embolization of the diverticulum was performed via the left subclavian artery. She was discharged after 12 days of surgery. The postoperative four-month follow up showed a smaller aneurysm. Conclusion: Thoracic endovascular aortic repair is feasible and effective for Kommerell’s diverticulum.

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