Peter Kleine, MD, Mustafa Balci, MD, Anton Moritz, MD

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Presentation transcript:

Primary Complete Repair of Partial Double Aortic Arch and Kommerell Diverticulum Peter Kleine, MD, Mustafa Balci, MD, Anton Moritz, MD The Annals of Thoracic Surgery Volume 91, Issue 2, Pages 627-629 (February 2011) DOI: 10.1016/j.athoracsur.2010.06.060 Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) Postoperative radioscopic swallowing test documents persistent relevant esophageal stenosis after division of the rudimentary left aortic arch alone. (B) Direct compression by the persistent Kommerell diverticulum (arrow) was documented by computed tomography scanning. The Annals of Thoracic Surgery 2011 91, 627-629DOI: (10.1016/j.athoracsur.2010.06.060) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Resected and oversewn Kommerell diverticulum; the left subclavian artery (arrow) is seen on the right upper part of the photograph. The Annals of Thoracic Surgery 2011 91, 627-629DOI: (10.1016/j.athoracsur.2010.06.060) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Transposition of the left subclavian artery dorsal of the phrenic nerve and completed reanastomosis with the left carotid artery. The Annals of Thoracic Surgery 2011 91, 627-629DOI: (10.1016/j.athoracsur.2010.06.060) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Final postoperative result with transposition of the left subclavian artery and resected Kommerell diverticulum (arrow). The Annals of Thoracic Surgery 2011 91, 627-629DOI: (10.1016/j.athoracsur.2010.06.060) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions

Fig 5 Postoperative computed tomography scan shows (A) normal diameter of the left subclavian artery at the anastomotic site and (B) completely normal diameter of the descending aorta at the level of the former Kommerell diverticulum. The Annals of Thoracic Surgery 2011 91, 627-629DOI: (10.1016/j.athoracsur.2010.06.060) Copyright © 2011 The Society of Thoracic Surgeons Terms and Conditions