title: Open thoracic aortic repair for dysphagia in patients with Kommerell's diverticulum and right-sided aortic arch with aberrant left subclavian artery.
abstract: Kommerell's diverticulum of an aberrant left subclavian artery associated with a right-sided aortic arch is a rare congenital aortic anomaly. This communication reports two cases of this congenital anomaly leading to severe dysphagia. Both cases were successfully repaired with a staged open approach rather than an endovascular approach, which would not have addressed the presenting symptom of dysphagia.
authors.affiliation: Division of Cardiovascular Surgery, Department of Surgery, The University of Pennsylvania Medical Center, Philadelphia, Pennsylvania, USA.
authors.forename: T Brett
authors.initials: TB
authors.lastname: Reece
authors.forename: Tyler J
authors.initials: TJ
authors.lastname: Wallen
authors.forename: Dinesh H
authors.initials: DH
authors.lastname: Jagasia
authors.forename: Joseph E
authors.initials: JE
authors.lastname: Bavaria
authors.forename: Wilson Y
authors.initials: WY
authors.lastname: Szeto
mesh_terms: D001013:Aorta, Thoracic / Q000473:pathology / Q000601:surgery*; D001015:Aortic Arch Syndromes / Q000473:pathology / Q000601:surgery*; D003680:Deglutition Disorders / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D004240:Diverticulum / Q000150:complications / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013348:Subclavian Artery / Q000002:abnormalities* / Q000473:pathology / Q000601:surgery; D014652:Vascular Diseases / Q000150:complications / Q000473:pathology / Q000601:surgery*