title: Kommerell's diverticular rupture complicated by aberrant left subclavian artery and right aortic arch successfully treated surgically.
abstract: We report a rare case of a rupture in Kommerell's diverticulum in a 73-year-old woman with Edwards IIIB aberrant left subclavian artery (A-LSA) and right aortic arch. This case was further complicated by an inferior vena cava defect. We performed an emergency operation through a right posterolateral approach. The descending aorta was replaced and the Kommerell's diverticulum was excised, followed by A-LSA reconstruction, performed under deep hypothermia with selective cerebral perfusion. We believe the prognosis was excellent.
authors.affiliation: From Department of Cardiovascular Surgery, Koshigaya Hospital, Dokkyo University School of Medicine, Koshigaya, Saitama, Japan.
authors.forename: Nobuaki
authors.initials: N
authors.lastname: Kaki
authors.forename: Yoshihito
authors.initials: Y
authors.lastname: Irie
authors.forename: Ikkoku
authors.initials: I
authors.lastname: Hata
authors.forename: Shigeyoshi
authors.initials: S
authors.lastname: Gon
authors.forename: Shuichi
authors.initials: S
authors.lastname: Okada
authors.forename: Takao
authors.initials: T
authors.lastname: Imazeki
mesh_terms: D000368:Aged; D001013:Aorta, Thoracic / Q000002:abnormalities* / Q000000981:diagnostic imaging; D001018:Aortic Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D006348:Cardiac Surgical Procedures; D004240:Diverticulum / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D019651:Plastic Surgery Procedures; D013348:Subclavian Artery / Q000002:abnormalities*; D014057:Tomography, X-Ray Computed; D014682:Vena Cava, Inferior / Q000002:abnormalities