title: Reconstruction of the left-sided brachiocephalic trunk after vascular ring operation in left-handed child with Kommerell's diverticulum.
abstract: We report a case of a 2-year-old girl with prenatal diagnosis of vascular ring composed of a right-sided aortic arch, a left ligamentum arteriosum, and a left subclavian artery (arteria lusoria sin) originating from a retroesophageal Kommerell's diverticulum, who was referred for surgery with symptoms related to local compression - severe dysphagia and respiratory disorders. Through the left posterolateral thoracotomy, a ligamentum arteriosum between the Kommerell's diverticulum and the left pulmonary artery was divided and because of left-handedness of the child a brachiocephalic trunk was reconstructed in the fashion of anastomosis of the left subclavian artery and the left common carotid artery, originating from the ascending aorta.
authors.affiliation: Department of Paediatric Cardiac Surgery, Mikołaj Kopernik Pomeranian Centre of Traumatology, Gdansk, Poland.
authors.forename: Ireneusz
authors.initials: I
authors.lastname: Haponiuk
authors.affiliation: Department of Paediatric Cardiac Surgery, Mikołaj Kopernik Pomeranian Centre of Traumatology, Gdansk, Poland.
authors.forename: Konrad
authors.initials: K
authors.lastname: Paczkowski
authors.affiliation: Department of Paediatric Cardiac Surgery, Mikołaj Kopernik Pomeranian Centre of Traumatology, Gdansk, Poland.
authors.forename: Maciej
authors.initials: M
authors.lastname: Chojnicki
authors.affiliation: Department of Paediatric Cardiac Surgery, Mikołaj Kopernik Pomeranian Centre of Traumatology, Gdansk, Poland.
authors.forename: Radosław
authors.initials: R
authors.lastname: Jaworski
authors.affiliation: Department of Paediatric Cardiac Surgery, Mikołaj Kopernik Pomeranian Centre of Traumatology, Gdansk, Poland.
authors.forename: Mariusz
authors.initials: M
authors.lastname: Steffens
authors.affiliation: Department of Paediatric Cardiac Surgery, Mikołaj Kopernik Pomeranian Centre of Traumatology, Gdansk, Poland.
authors.forename: Aneta
authors.initials: A
authors.lastname: Szofer-Sendrowska
authors.affiliation: Department of Paediatric Cardiac Surgery, Mikołaj Kopernik Pomeranian Centre of Traumatology, Gdansk, Poland.
authors.forename: Ewelina
authors.initials: E
authors.lastname: Kwaśniak
authors.affiliation: Department of Surgical Oncology, Medical University of Gdansk, Poland.
authors.forename: Jacek
authors.initials: J
authors.lastname: Zieliński
authors.affiliation: Department of Rehabilitation, Medical University of Gdansk, Poland.
authors.forename: Katarzyna
authors.initials: K
authors.lastname: Gierat-Haponiuk
keywords: Kommerell's diverticulum; congenital heart defects; pediatric cardiac surgery; vascular ring