Repair of right aortic arch with aberrant left subclavian artery and left ligamentum arteriosum.
A case of right aortic arch with an aberrant left subclavian artery arising from a Kommerell's diverticulum of the descending thoracic aorta with a left ligamentum arteriosum completing a vascular ring about the trachea and esophagus is presented. A posterolateral left thoracotomy alone is sufficient to provide an excellent exposure for the division of the ligamentum arteriosum and the resection of the Kommerell's diverticulum. Furthermore, the development of a subclavian steal syndrome is prevented by the reimplantation of the divided left subclavian artery into the left common carotid artery through this same incision.
Chen
C L
CL
Department of Surgery, Chang Gung Memorial Hospital, Keelung, Taiwan, Republic of China.
D001013:Aorta, Thoracic / Q000002:abnormalities* / Q000601:surgery; D004240:Diverticulum / Q000601:surgery*; D006801:Humans; D007223:Infant; D008022:Ligaments / Q000601:surgery*; D012092:Replantation; D013348:Subclavian Artery / Q000002:abnormalities* / Q000601:surgery; D013896:Thoracic Diseases / Q000601:surgery*; D013908:Thoracotomy / Q000379:methods*