Abstract
A right aortic arch vascular ring consists of an anomalous aortic arch course with a ligamentum arteriosum and an aberrant left subclavian artery arising from a Kommerell diverticulum. Division of the ligamentum arteriosum is required for the relief of symptoms in these patients. However, to prevent recurrent symptoms, resection of the Kommerell diverticulum and reimplantation of the subclavian artery to the left carotid artery is advocated. Here we describe our standardized surgical approach to this pathology.
Keywords:
Kommerell diverticulum; Right aortic arch; Vascular ring.
Copyright © 2018. Published by Elsevier Inc.
Publication types
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Case Reports
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Video-Audio Media
MeSH terms
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Anastomosis, Surgical
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Aneurysm / diagnostic imaging
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Aneurysm / surgery*
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Aorta, Thoracic / abnormalities
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Aorta, Thoracic / diagnostic imaging
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Aorta, Thoracic / surgery*
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Cardiovascular Abnormalities / diagnostic imaging
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Cardiovascular Abnormalities / surgery*
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Child, Preschool
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Diverticulum / diagnostic imaging
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Diverticulum / surgery*
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Humans
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Replantation*
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Subclavian Artery / abnormalities*
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Subclavian Artery / diagnostic imaging
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Subclavian Artery / surgery
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Treatment Outcome
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Vascular Ring / diagnostic imaging
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Vascular Ring / surgery*
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Vascular Surgical Procedures*
Supplementary concepts
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Aberrant subclavian artery