title: Management options for Kommerell's diverticulum.
abstract: An aberrant right subclavian artery (ARSA) arising from a left-sided aortic arch (LAA) is an uncommon aortic arch anomaly. Aneurysms of ARSA arising from different degrees of Kommerell's diverticulum may modify surgical approach. We describe a safe technique for the surgical management of ARSA aneurysm in a 67-year-old gentleman. We performed exclusion of an ARSA aneurysm using left heart bypass, with concomitant R axillary to RSCA bypass. This obviated the need for any major procedure such as an aortic arch replacement.
authors.affiliation: East Yorkshire Heart Centre, Castle Hill Hospital, Hull HU16 5JQ, UK. sanjaykr33@hotmail.com
authors.forename: Sanjay
authors.initials: S
authors.lastname: Kumar
authors.forename: Imthiaz
authors.initials: I
authors.lastname: Ahamed
authors.forename: Muhammad U
authors.initials: MU
authors.lastname: Rafiq
authors.forename: Paul
authors.initials: P
authors.lastname: Renwick
authors.forename: Michael E
authors.initials: ME
authors.lastname: Cowen
mesh_terms: D000368:Aged; D001014:Aortic Aneurysm / Q000601:surgery*; D001015:Aortic Arch Syndromes / Q000601:surgery*; D001027:Aortography; D013504:Cardiovascular Surgical Procedures / Q000379:methods*; D004240:Diverticulum / Q000473:pathology / Q000601:surgery*; D018611:Heart Bypass, Left; D006801:Humans; D008297:Male; D013348:Subclavian Artery / Q000473:pathology / Q000601:surgery*