title: Primary resection of Kommerell's diverticulum in a 37-year-old patient.
abstract: A previously non-operated 37-year-old patient presented with esophageal dysphagia for solid food and stridorous breathing. Computed tomography and magnetic resonance showed a 33-mm wide Kommerell's diverticulum. The diverticulum and the obliterated ductus arteriosus arising from it towards the pulmonary artery were resected. The left subclavian artery, which originated from the diverticulum, was reimplanted into the descending aorta. In addition to dissecting any tissue which is making vascular ring-like structures around the trachea and the esophagus, it is important to resect the diverticulum itself and reimplant the left subclavian artery arising from it, in this way leaving the aortic arch free from any additional dislocating forces.
authors: Department of Cardiovascular Surgery, German Heart Center Munich, Munich, Germany. samprec@dhm.mhn.de
authors: J
authors: J
authors: Kasnar-Samprec
authors: C
authors: C
authors: Schreiber
authors: J
authors: J
authors: Hörer
authors: A
authors: A
authors: Will
authors: J
authors: J
authors: Cleuziou
authors: Z
authors: Z
authors: Prodan
authors: A
authors: A
authors: Eicken
authors: R
authors: R
authors: Lange
mesh_terms: D000328:Adult; D001013:Aorta, Thoracic / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000601:surgery*; D001018:Aortic Diseases / Q000151:congenital / Q000175:diagnosis / Q000601:surgery*; D001027:Aortography / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation; D003680:Deglutition Disorders / Q000209:etiology; D004210:Dissection; D004240:Diverticulum / Q000151:congenital / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D012092:Replantation; D013348:Subclavian Artery / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D054079:Vascular Malformations / Q000150:complications / Q000175:diagnosis / Q000601:surgery*