Total Arch and Descending Aortic Replacement for a Kommerell Diverticulum and Right-Sided Aortic Arch with Aberrant Left Subclavian Artery
10.4326/jjcvs.44.279
- VernacularTitle:右大動脈弓に合併した異所性左鎖骨下動脈に伴う Kommerell 憩室に対して，右拡大側方開胸下に弓部下行大動脈置換術を施行した1例
- Author:
Shigeru Hattori
;
Keiji Yunoki
;
Naoya Sakoda
;
Atsushi Tateishi
;
Yasufumi Fujita
;
Kunikazu Hisamochi
;
Hideo Yoshida
- Publication Type:Journal Article
- Keywords:
Kommerell diverticulum;
right-sided aortic arch;
total arch and descending aortic replacement;
anterolateral thoracotomy with partial sternotomy
- From:Japanese Journal of Cardiovascular Surgery
2015;44(5):279-282
- CountryJapan
- Language:Japanese
-
Abstract:
A 74-year-old woman was referred to our unit with a chief complaint of dysphagia. Enhanced CT showed a Kommerell diverticulum with a maximum diameter of 46 mm, associated with a right-sided aortic arch and aberrant left subclavian artery. We performed two-staged operations : left subclavian-common carotid artery bypass followed by total arch, and descending aortic replacement by an antero-lateral thoracotomy with partial sternotomy (ALPS). The postoperative course was uneventful. Total arch and descending aortic replacement for a Kommerell diverticulum by an ALPS approach is rare. ALPS approach for Kommerell diverticulum achieves safe surgery with good exposure.
