Document Detail

A right-sided aortic arch with Kommerell's diverticulum of the aberrant left subclavian artery presenting with syncope.
MedLine Citation:
PMID:  19467953     Owner:  NLM     Status:  MEDLINE    
A right-sided aortic arch with an aneurysm of the aberrant subclavian artery is a rare disease. We report a case of Kommerell's diverticulum of an aberrant left subclavian artery in a patient with a right-sided aortic arch. Fewer than 50 cases have been reported in the literature. A number of operative strategies are described. Right thoracotomy provides good exposure and avoids the morbidity associated with bilateral thoracotomy or sternotomy and thoracotomy. In our patient with symptoms of dysphagia, syncope, and left subclavian steal syndrome, a left thoracotomy was used. The repair was accomplished by division of a left ligamentum arteriosum, obliteration of the Kommerell's aneurysm, and an aorto-subclavian bypass. Postoperative complications included left vocal cord palsy and Horner's syndrome. Hoarseness and left ptosis recovered spontaneously 3 months after surgery, and the patient remained symptom-free at the 1-year follow-up. We believe a left thoracotomy for direct repair of Kommerell's diverticulum is a simple and safe method without the increased morbidity found in other procedures.
Ming-Hsun Yang; Zen-Chung Weng; Yu-Guo Weng; Hsiao-Huang Chang
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of the Chinese Medical Association : JCMA     Volume:  72     ISSN:  1726-4901     ISO Abbreviation:  J Chin Med Assoc     Publication Date:  2009 May 
Date Detail:
Created Date:  2009-05-26     Completed Date:  2009-09-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101174817     Medline TA:  J Chin Med Assoc     Country:  China (Republic : 1949- )    
Other Details:
Languages:  eng     Pagination:  275-7     Citation Subset:  IM    
Department of Surgery, Taipei Veterans General Hospital, Taiwan, R.O.C.
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MeSH Terms
Aorta, Thoracic / abnormalities*,  surgery
Diverticulum / congenital*,  surgery
Subclavian Artery / abnormalities*,  surgery
Syncope / etiology*
Thoracotomy / methods

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