Right Aortic Arch and Kommerell’s Diverticulum Repaired without Reconstruction of Aberrant Left Subclavian Artery
Right aortic arch with Kommerell’s diverticulum is a very rare situation. Surgical treatment is recommended for symptomatic patients or asymptomatic patients with a large diverticulum. However planning the strategy of operation is difficult without a 3D imaging. We report a case of a 57-year-old man...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Vascular Medicine |
| Online Access: | http://dx.doi.org/10.1155/2013/840804 |
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| author | Hiroshi Osawa Daisuke Shinohara Kouan Orii Shigeru Hosaka Shoji Fukuda Okihiko Akashi Hiroshi Furukawa |
| author_facet | Hiroshi Osawa Daisuke Shinohara Kouan Orii Shigeru Hosaka Shoji Fukuda Okihiko Akashi Hiroshi Furukawa |
| author_sort | Hiroshi Osawa |
| collection | DOAJ |
| description | Right aortic arch with Kommerell’s diverticulum is a very rare situation. Surgical treatment is recommended for symptomatic patients or asymptomatic patients with a large diverticulum. However planning the strategy of operation is difficult without a 3D imaging. We report a case of a 57-year-old man with right aortic arch, Kommerell’s diverticulum, and aberrant left subclavian artery. After a 3D-CT imaging, the patient underwent descending aortic replacement without reconstruction of aberrant left subclavian artery. After operation, there was no signs or symptoms of ischemia of the left arm. If the reconstruction of the aberrant subclavian artery was too difficult, closing its orifice is an acceptable decision. It has been found advantageous because of a decrease blood loss and a shorter cardiopulmonary bypass duration. If an ischemia of the arm is noticed, additional reconstruction will have to be considered. 3D-CT imaging was very useful to have a proper orientation and plan for the operative strategy. |
| format | Article |
| id | doaj-art-c0baa33a83104a6289782d28bbe4a444 |
| institution | Kabale University |
| issn | 2090-6986 2090-6994 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Vascular Medicine |
| spelling | doaj-art-c0baa33a83104a6289782d28bbe4a4442025-02-03T01:00:27ZengWileyCase Reports in Vascular Medicine2090-69862090-69942013-01-01201310.1155/2013/840804840804Right Aortic Arch and Kommerell’s Diverticulum Repaired without Reconstruction of Aberrant Left Subclavian ArteryHiroshi Osawa0Daisuke Shinohara1Kouan Orii2Shigeru Hosaka3Shoji Fukuda4Okihiko Akashi5Hiroshi Furukawa6Division of Cardiovascular Surgery, Shimada General Hospital, Higashi-cho 5-3, Choshi, Chiba 288-0053, JapanDivision of Cardiovascular Surgery, Shimada General Hospital, Higashi-cho 5-3, Choshi, Chiba 288-0053, JapanDivision of Cardiovascular Surgery, Shimada General Hospital, Higashi-cho 5-3, Choshi, Chiba 288-0053, JapanDepartment of Cardiovascular Surgery, National Center of Global Health and Medicine, Shinjuku, Tokyo 162-8655, JapanDepartment of Cardiovascular Surgery, National Center of Global Health and Medicine, Shinjuku, Tokyo 162-8655, JapanDivision of Cardiovascular Surgery, Ikegami General Hospital, Ota, Tokyo 146-8531, JapanDepartment of Cardiovascular Surgery, Kawasaki Medical University, Kurashiki, Okayama 701-0192, JapanRight aortic arch with Kommerell’s diverticulum is a very rare situation. Surgical treatment is recommended for symptomatic patients or asymptomatic patients with a large diverticulum. However planning the strategy of operation is difficult without a 3D imaging. We report a case of a 57-year-old man with right aortic arch, Kommerell’s diverticulum, and aberrant left subclavian artery. After a 3D-CT imaging, the patient underwent descending aortic replacement without reconstruction of aberrant left subclavian artery. After operation, there was no signs or symptoms of ischemia of the left arm. If the reconstruction of the aberrant subclavian artery was too difficult, closing its orifice is an acceptable decision. It has been found advantageous because of a decrease blood loss and a shorter cardiopulmonary bypass duration. If an ischemia of the arm is noticed, additional reconstruction will have to be considered. 3D-CT imaging was very useful to have a proper orientation and plan for the operative strategy.http://dx.doi.org/10.1155/2013/840804 |
| spellingShingle | Hiroshi Osawa Daisuke Shinohara Kouan Orii Shigeru Hosaka Shoji Fukuda Okihiko Akashi Hiroshi Furukawa Right Aortic Arch and Kommerell’s Diverticulum Repaired without Reconstruction of Aberrant Left Subclavian Artery Case Reports in Vascular Medicine |
| title | Right Aortic Arch and Kommerell’s Diverticulum Repaired without Reconstruction of Aberrant Left Subclavian Artery |
| title_full | Right Aortic Arch and Kommerell’s Diverticulum Repaired without Reconstruction of Aberrant Left Subclavian Artery |
| title_fullStr | Right Aortic Arch and Kommerell’s Diverticulum Repaired without Reconstruction of Aberrant Left Subclavian Artery |
| title_full_unstemmed | Right Aortic Arch and Kommerell’s Diverticulum Repaired without Reconstruction of Aberrant Left Subclavian Artery |
| title_short | Right Aortic Arch and Kommerell’s Diverticulum Repaired without Reconstruction of Aberrant Left Subclavian Artery |
| title_sort | right aortic arch and kommerell s diverticulum repaired without reconstruction of aberrant left subclavian artery |
| url | http://dx.doi.org/10.1155/2013/840804 |
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