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A Right-sided Aortic Arch with Kommerell's Diverticulum of the Aberrant Left Subclavian Artery Presenting with Syncope
| Content Provider | Scilit |
|---|---|
| Author | Yang, Ming-Hsun Weng, Zen-Chung Weng, Yu-Guo Chang, Hsiao-Huang |
| Copyright Year | 2009 |
| Description | Journal: Journal of the Chinese Medical Association 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. |
| Related Links | https://core.ac.uk/download/pdf/82348248.pdf |
| Ending Page | 277 |
| Page Count | 3 |
| Starting Page | 275 |
| ISSN | 17264901 |
| e-ISSN | 17287731 |
| DOI | 10.1016/s1726-4901%2809%2970070-x |
| Journal | Journal of the Chinese Medical Association |
| Issue Number | 5 |
| Volume Number | 72 |
| Language | English |
| Publisher | Ovid Technologies (Wolters Kluwer Health) |
| Publisher Date | 2009-05-01 |
| Access Restriction | Open |
| Subject Keyword | Journal: Journal of the Chinese Medical Association Right-sided Aortic Arch Aberrant Left Subclavian Artery Subclavian Steal Syndrome Kommerell's Diverticulum |
| Content Type | Text |
| Resource Type | Article |
| Subject | Medicine |
