Right-sided aortic arch with aberrant left subclavian artery and Kommerell diverticulum

Raymond, Steven L.; Gray, Sarah E.; Peters, Keith; Fatima, Javairiah

doi:10.1016/j.jvscit.2019.02.009

Cited by 3 publications

(1 citation statement)

References 5 publications

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“…17 This has been reported with a right-sided aortic arch with an aberrant left subclavian artery without dextrocardia. 18,19 Kommerell's diverticulum can be repaired with both open and endovascular approaches. 16 In this case, the left subclavian artery and left common carotid artery originated from a common left innominate trunk There have been a few reports of repair of intrathoracic subclavian artery aneurysms in patients without dextrocardia reported in the literature.…”

Section: Discussionmentioning

confidence: 99%

Endovascular Repair of an Intrathoracic Subclavian Artery Aneurysm in a Patient With Dextrocardia

Motaganahalli

Wang

Sawchuk

2022

Vasc Endovascular Surg

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This manuscript describes an endovascular repair of a symptomatic, large proximal left subclavian artery aneurysm in a patient with dextrocardia and right-sided aortic arch and absent bilateral internal carotid arteries. The patient had surgical reconstruction as an infant for congenital heart disease with Ventricular Septal Defect, bifid sternum . Given her previous surgical history, we declined an open operation and performed an endovascular repair with stent grafts to successfully repair the subclavian artery aneurysm. The patient had an uneventful postoperative course and follow-up ultrasonography demonstrated successful repair with preservation of flow through the left subclavian and vertebral arteries with resolution of her symptoms.

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Section: Discussionmentioning

confidence: 99%

Endovascular Repair of an Intrathoracic Subclavian Artery Aneurysm in a Patient With Dextrocardia

Motaganahalli

Wang

Sawchuk

2022

Vasc Endovascular Surg

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Treatment of right-sided aortic arch aneurysms with aberrant left subclavian artery with Kommerell’s diverticulum using the frozen elephant trunk technique

Juraszek,

Berger,

Kreibich

et al. 2023

Interdisciplinary CardioVascular and Thoracic Surgery

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OBJECTIVES The ideal treatment for aneuryms of aberrant left subclavian arteries with Kommerell's diverticulum arising from right aortic arches remains open. METHODS Between January 2015 and December 2020, 5 patients with aneurysms from a right-sided aortic arch with aberrant left subclavian artery and Kommerell’s diverticulum underwent repair by using the frozen elephant trunk technique in 3 aortic centres. Patients’ characteristics were retrospectively reviewed and the surgical procedure and outcomes are presented. RESULTS The median age of the 2 male and 3 female patients was 59 (range from 49 to 63) years. The median operative times were as follows: surgery 405 min (range from 335 to 534), cardiopulmonary bypass time 244 min (range from 208 to 280) and aortic clamp time 120 min (from 71 to 184). The mean core temperature was 25.94°C (from 24 to 28). The intensive care unit stay was 4 days (range from 1 to 8) and the in-hospital stay 21 days (from 16 to 34). All patients were discharged and we observed no stroke or spinal cord ischaemia postoperatively. During the median follow-up time of 1003 days (range from 450 to 2306), 3 patients required subsequent thoracic endovascular distal stent graft extension. CONCLUSIONS The frozen elephant trunk technique is a good treatment option for patients with aneuryms of an aberrant left subclavian artery with Kommerell's diverticulum arising from right aortic arches. Secondary stent graft extension is a frequently needed component of the treatment concept.

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Right-sided Aortic Arch with Aberrant Left Subclavian Artery in a Pregnant Female: A Case Report and Literature Review

Zhyvotovska

Yusupov

Abdul

et al. 2020

AJMCR

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Right-sided aortic arch with aberrant left subclavian artery is a rare variant of vascular anatomy. Three types of right-sided aortic arches are described and classified based on the arrangement of the aortic arch vessels, the presence or absence of congenital heart abnormalities, the relationship of the aortic arch to the trachea and esophagus, as well as the presence or absence of a complete or incomplete vascular ring. On review of the existing literature, 31 case reports were found with a spectrum of clinical presentation sand outcomes. In this case report, we highlight a case of a young female in her early 20'swho presented with choking spells, shortness of breath along with intermittent dysphagia since childhood. She was otherwise healthy and pregnant at 26 weeks gestational age. A Computed tomography scan with angiography (CTA) of the thorax was performed to rule out a pulmonary embolism (PE) however surprisingly, a right-sided aortic arch with aberrant left subclavian artery was revealed instead. Subsequently, an extensive literature review was carried out to better understand clinical presentation sand treatment strategies for this rather rare disorder.

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Right-sided aortic arch with aberrant left subclavian artery and Kommerell diverticulum

Cited by 3 publications

References 5 publications

Endovascular Repair of an Intrathoracic Subclavian Artery Aneurysm in a Patient With Dextrocardia

Endovascular Repair of an Intrathoracic Subclavian Artery Aneurysm in a Patient With Dextrocardia

Treatment of right-sided aortic arch aneurysms with aberrant left subclavian artery with Kommerell’s diverticulum using the frozen elephant trunk technique

Right-sided Aortic Arch with Aberrant Left Subclavian Artery in a Pregnant Female: A Case Report and Literature Review

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