Hybrid Approach to a Right Aortic Arch With a Large Kommerell's Diverticulum.

The Annals of Thoracic Surgery
Imad JaabariOlivier Chavanon

Abstract

A 60-year-old woman with a family history of aortic dissection in her mother was investigated for dysphagia. Her scan showed a right aortic arch with a large Kommerell's diverticulum causing esophageal compression. Her left vertebral artery, which originated abnormally low in the thorax, was embolized preoperatively to limit operative difficulties. Two weeks later, a right thoracotomy allowed the resection of the aneurysm with an associated left carotid-axillary bypass. Partial cardiopulmonary bypass in moderate hypothermia with beating-heart perfusion of the brain was conducted. Five-year follow-up showed a favorable outcome. A multidisciplinary approach is a safe and simple strategy in complex cases.

References

Jul 1, 1948·The Medical Clinics of North America·J E EDWARDS
Aug 14, 2012·The Annals of Thoracic Surgery·Carl L BackerCynthia K Rigsby
Apr 29, 2015·The Annals of Thoracic Surgery·Guido H W van BogerijenG Michael Deeb

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