title: [Right aortic arch with a retro-esophageal diverticulum (embryology, anatomy, classification, clinical picture, diagnosis and surgical treatment)].
abstract: Five clinical cases (adult patients) are discussed in illustration of the problems of embryology, anatomy, clinical picture, and X-ray and angiographic diagnosis of a rare anomaly, right arch of the aorta (RAA) with retro-esophageal diverticulum of the aorta. According to I. J. Garti's classification, type C RAA was determined in 4 patients and type B RAA in one patient. The vascular ring around the esophagus and trachea was manifested clinically by mild respiratory disorders in 2 and marked dysphagia in all 5 patients, which required surgical correction. Four patients were operated on through a left posterolateral thoracotomy in the fourth-fifth intercostal space, one patient through a bilateral approach with division of the sternum on the level of the third intercostal space. The clinical effect of the operation was good in all patients. The indications for and the tactics of surgical treatment are discussed.
authors.forename: A A
authors.initials: AA
authors.lastname: Spiridonov
authors.forename: A V
authors.initials: AV
authors.lastname: Ivanitskiĭ
authors.forename: S N
authors.initials: SN
authors.lastname: Besedin
authors.forename: N N
authors.initials: NN
authors.lastname: Petrova
mesh_terms: D000328:Adult; D001013:Aorta, Thoracic / Q000002:abnormalities*; D004936:Diverticulum, Esophageal / Q000150:complications*; D006801:Humans; D008875:Middle Aged
vernacular_title: Pravostoronniaia duga aorty s retroézofageal'nym divertikulom (émbriologiia, anatomiia, klassifikatsiia, klinika, diagnostika i khirurgicheskoe lechenie).