Korean J Thorac Cardiovasc Surg.  2010 Aug;43(4):458-461.

Hybrid Operation of a Kommerell's Diverticulum with Left Aberrant Subclavian Artery

Affiliations
  • 1Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine, Korea. jwlee@amc.seoul.kr
  • 2Department of Thoracic and Cardiovascular Surgery, Anam Hospital, College of Medicine, Korea University, Korea.
  • 3Department of Thoracic and Cardiovascular Surgery, Ulsan University Hospital, Ulsan University School of Medicine, Korea.

Abstract

A 53-year-old woman had right aortic arch, Kommerell's diverticulum and aberrant left subclavian artery (LSA) without any compressive symptoms. Hybrid operation was performed. This consisted of LSA bypass using a 6 mm ringed Gore-Tex graft between the left common carotid artery and aberrant LSA via a left supraclavicular incision, and stent graft insertion into the aortic arch via the right femoral artery. Postoperative computed tomography as well as intraoperative angiography demonstrated successful occlusion of Kommerell's diverticulum and bypass of the aberrant LSA. There were no complications related to the operation or the intervention.

Keyword

Kommerell's diverticulum; Aberrant left subclavian artery; Hybrid operation

MeSH Terms

Aneurysm
Angiography
Aorta, Thoracic
Cardiovascular Abnormalities
Carotid Artery, Common
Chimera
Deglutition Disorders
Diverticulum
Female
Femoral Artery
Humans
Middle Aged
Polytetrafluoroethylene
Stents
Subclavian Artery
Transplants
Aneurysm
Cardiovascular Abnormalities
Deglutition Disorders
Polytetrafluoroethylene
Subclavian Artery
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