Successful Surgical Exclusion of Rapidly Expanding Kommerell Diverticulum Following a Total Arch Replacement for an Acute Type A Aortic Dissection
| Autor: | Kayoko Natsume, Kuniyoshi Tanaka, Keizo Tanaka, Takane Hiraiwa, Kiyohito Yamamoto |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
Aortic dissection
Aortic arch medicine.medical_specialty Elephant trunks business.industry medicine.medical_treatment Case Report General Medicine medicine.disease Dysphagia Surgery medicine.anatomical_structure medicine.artery Descending aorta otorhinolaryngologic diseases cardiovascular system Medicine Thoracotomy medicine.symptom Arch Esophagus business |
| Popis: | A 50-year-old man presented with an acute type A aortic dissection with an aberrant right subclavian artery. Emergent total arch replacement with an elephant trunk was performed. Intraoperatively, the origin of the aberrant right subclavian artery could not be resected because it was located too far from the distal arch. After two weeks, the patient became aware of dysphagia. Postoperative computed tomography showed the esophagus was compressed anteriorly by the aneurismal origin of this aberrant vessel (Kommerell diverticulum) with a patent false lumen. Additional replacement of the descending aorta via left thoracotomy was performed immediately to exclude a Kommerell diverticulum. |
| Databáze: | OpenAIRE |
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