title: A Rare Cause of Dysphagia--Kommerell's Diverticulum.
abstract: A right-sided aortic arch with an aneurysm of the aberrant subclavian artery is a rare disease. We report a case of Kommerell's diverticulum of an aberrant left subclavian artery in a patient with a right-sided aortic arch with associated ventricular septal defect. Fewer than 50 cases have been reported in literature so far. Our patient presented with short duration of dysphagia without any syncope or left subclavian steal syndrome. The major morbidity was caused by Barrett's oesophagus with reflux and a mixed paraoesophageal and hiatal hernia. There was associated psoriasis. An attempt at repair was not undertaken because of the high operative risk and a small aneurysm. Left thoracotomy for direct repair of Kommerell's diverticulum is a simple and safe method.
authors.forename: Pathik
authors.initials: P
authors.lastname: Parikh
authors.forename: Mukesh
authors.initials: M
authors.lastname: Nasa
authors.forename: Sandeep
authors.initials: S
authors.lastname: Patil
authors.forename: Jatin
authors.initials: J
authors.lastname: Patel
authors.forename: Prasad
authors.initials: P
authors.lastname: Bhate
authors.forename: Prabha
authors.initials: P
authors.lastname: Sawant
mesh_terms: D001013:Aorta, Thoracic / Q000002:abnormalities* / Q000000981:diagnostic imaging; D003680:Deglutition Disorders / Q000175:diagnosis / Q000209:etiology*; D005260:Female; D006801:Humans; D008365:Manometry; D008875:Middle Aged; D013348:Subclavian Artery / Q000002:abnormalities* / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed; D054079:Vascular Malformations / Q000150:complications* / Q000175:diagnosis