The Journal of Thoracic and Cardiovascular Surgery
Volume 131, Issue 3 , Pages 574-578 , March 2006

Surgical treatment for Kommerell’s diverticulum

  • Takeyoshi Ota, MD, PhD

      Affiliations

    • Department of Cardiovascular Surgery, Kobe University Graduate School of Medicine, Kobe
    • ,
  • Kenji Okada, MD, PhD

      Affiliations

    • Department of Cardiovascular Surgery, Kobe University Graduate School of Medicine, Kobe
    • ,
  • Shuichiro Takanashi, MD

      Affiliations

    • Department of Cardiovascular Surgery, Sakakibara Heart Institute, Tokyo
    • ,
  • Shin Yamamoto, MD

      Affiliations

    • Department of Cardiovascular Surgery, Kawasaki-Saiwai Hospital, Kawasaki, Japan
    • ,
  • Yutaka Okita, MD, PhD

      Affiliations

    • Department of Cardiovascular Surgery, Kobe University Graduate School of Medicine, Kobe
    • Corresponding Author InformationAddress for reprints: Yutaka Okita, MD, Department of Cardiovascular Surgery, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-cho, Chuo-ku, Kobe, Japan 650-0017

Received 19 July 2005 ,Revised 9 September 2005 ,Accepted 7 October 2005.

  • Image Result

    Digital subtraction angiograms of right aortic arch (RAA) and aberrant left subclavian artery (ALSA). A, Early phase. B, Late phase. ALSA arising from the Kommerell’s diverticulum is demonstrated. LC,

    Digital subtraction angiograms of right aortic arch (RAA) and aberrant left subclavian artery (ALSA). A, Early phase. B, Late phase. ALSA arising from the Kommerell’s diverticulum is demonstrated. LC, Left carotid artery; RC, right carotid artery; RS, right subclavian artery; ALS, aberrant left subclavian artery; KM, Kommerell’s diverticulum; Asc.Ao, ascending aorta; Des.Ao, descending aorta.

  • Image Result
    Contrast-enhanced computed tomography. Kommerell’s diverticulum (arrow 1) was seen. A, Case of RAA and ALSA. The esophagus (arrow 2) was displaced anteriorly. B, Left aortic arch (LAA) and aberrant ri

    Contrast-enhanced computed tomography. Kommerell’s diverticulum (arrow 1) was seen. A, Case of RAA and ALSA. The esophagus (arrow 2) was displaced anteriorly. B, Left aortic arch (LAA) and aberrant right subclavian artery (ARSA).

  • Image Result
    A, Surgical view of the RAA with the ALSA through the right thoracotomy. B, A 10-mm graft was anastomosed to the ostium of the aberrant subclavian artery blocking blood backflow using a 5F arterial oc

    A, Surgical view of the RAA with the ALSA through the right thoracotomy. B, A 10-mm graft was anastomosed to the ostium of the aberrant subclavian artery blocking blood backflow using a 5F arterial occlusion catheter. C, The 10-mm graft was anastomosed to the main graft of the descending aorta after proximal anastomosis of the main graft. D, Completed drawing; LC, left carotid artery; RC, right carotid artery; RS, right subclavian artery; ALS, aberrant left subclavian artery; KM, Kommerell’s diverticulum.

  • Image Result
    Postoperative contrast-enhanced computed tomography of the RAA and ALSA. The 10-mm in situ graft (arrow) for the reconstruction of left subclavian artery was recognized without compression of the esop

    Postoperative contrast-enhanced computed tomography of the RAA and ALSA. The 10-mm in situ graft (arrow) for the reconstruction of left subclavian artery was recognized without compression of the esophagus.

PII: S0022-5223(05)01749-6

doi: 10.1016/j.jtcvs.2005.10.012

The Journal of Thoracic and Cardiovascular Surgery
Volume 131, Issue 3 , Pages 574-578 , March 2006

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