Clinical Physiology of Circulation

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery


Right aortic arch in combination with Kommerell's diverticulum,aneurysm and stenosis of an aberrant left subclavian artery

Authors: V.S. Arakelyan, N.A. Gidaspov, P.P. Kulichkov, M.V. Shumilina

Company:
Bakoulev National Scientific and Practical Center for Cardiovascular Surgery, Ministry of Health of the Russian Federation; Rublevskoe shosse, 135, Moscow, 121552, Russian Federation

E-mail: Сведения доступны для зарегистрированных пользователей.

DOI: https://doi.org/10.24022/1814-6910-2017-14-3-158-162

UDC: 616.132.14-007.64:616.134-007.64-007.271].089

Link: Clinical Physiology of Blood Circulaiton. 2017; 14 (3): 158-162

Quote as: Arakelyan V.S., Gidaspov N.A., Kulichkov P.P., Shumilina M.V. Right aortic arch in combination with Kommerell's diverticulum, aneurysm and stenosis of an aberrant left subclavian artery. Klinicheskaya Fiziologiya Krovoobrashcheniya (Clinical Physiology of Circulation, Russian journal). 2017; 14 (3): 158–62 (in Russ.). DOI: 10.24022/1814-6910-2017-14- 3-158-162

Received / Accepted:  10.07.2017/11.07.2017

Full text:  

Abstract

This report presents a rare clinical case of a patient with right aortic arch in combination with aberrant left subclavian artery and its aneurysm and stenosis in the 1st segment originating from the Kommerell's diverticulum. The patient underwent one-stage operation: resection of thoracic aorta in the area of the aortic diverticulum and aneurysm of the left subclavian artery with the implantation of the aberrant left subclavian artery the left common carotid artery under conditions of distal aortic perfusion.

References

1. Margolis J., Bilfinger T., Labropoulos N. A right-sided
aortic arch and aberrant left subclavian artery with proximal
segment hypoplasia. Interact. Cardiovasc. Thorac.
Surg. 2012; 14 (3): 370–1.
2. Mubarak M.Y., Kamarul A.T., Noordini M.D. Right-sided
aortic arch with aberrant left subclavian artery from Kommerell’s
diverticulum. Iran J. Radiol. 2011; 8 (2): 103–6.
3. Yang M.H., Weng Z.C., Weng Y.G., Chang H.H.
A right-sided aortic arch with Kommerell's diverticulum
of the aberrant left subclavian artery presenting
with syncope. J. Chin. Med. Assoc. 2009; 72 (5): 275–7.
4. Kouchoukos N.T., Masetti P. Aberrant subclavian
artery and Kommerell aneurysm: surgical treatment
with a standard approach. J. Thorac. Cardiovasc. Surg.
2007; 133 (4): 888–92.
5. Idrees J., Keshavamurthy S., Subramanian S., Clair D.G.,
Svensson L.G., Roselli E.E. Hybrid repair of Kommerell
diverticulum. J. Thorac. Cardiovasc. Surg. 2014; 147 (3):
973–6.
6. Türkvatan A., Büyükbayraktar F., Öl‚cer T., Cumhur T.
Congenital anomalies of the aortic arch: evaluation with
the use of multidetector computed tomography. Korean
J. Radiol. 2009; 10 (2): 176–84.
7. Osawa H., Shinohara D., Orii K., Hosaka S. et al. Right
aortic arch and Kommerell's diverticulum repaired without
reconstruction of aberrant left subclavian artery. Case
Rep. Vasc. Med. 2013: 840804. DOI: 10.1155/ 2013/840804
8. Reece T.B., Wallen T.J., Jagasia D.H., Bavaria J.E. et al.
Open thoracic aortic repair for dysphagia in patients
with Kommerell's diverticulum and right-sided aortic
arch with aberrant left subclavian artery. J. Card. Surg.
2010; 25 (1): 62–4.
9. Kim K.M., Cambria R.P., Isselbacher E.M., Baker J.N.
et al. Contemporary surgical approaches and outcomes
in adults with Kommerell diverticulum. Ann. Thorac.
Surg. 2014; 98 (4): 1347–54.
10. Backer C.L., Russell H.M., Wurlitzer K.C., Rastatter J.C.
et al. Primary resection of Kommerell diverticulum and
left subclavian artery transfer. Ann. Thorac. Surg. 2012;
94 (5): 1612–7.
11. Shinkawa T., Greenberg S.B., Jaquiss R.D., Imamura M.
Primary translocation of aberrant left subclavian artery
for children with symptomatic vascular ring. Ann. Thorac.
Surg. 2012; 93 (4): 1262–5.

About Authors

  • Arakelyan Valeriy Sergeevich, Dr. Med. Sc., Professor, Head of Department of Surgery of Arterial Pathology; orcid.org/0000-0002-0284-6793
  • Gidaspov Nikita Andreevich, Cand. Med. Sc., Researcher; orcid.org/0000-0002-1624-0733
  • Kulichkov Pavel Pavlovich, Postgraduate; orcid.org/0000-0002-6232-581Х
  • Shumilina Margarita Vladimirovna, Dr. Med. Sc., Chief of Group of Ultrasound Cardiovascular and Organ Pathology; orcid.org/0000-0001-9871-8173

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