Thorac Cardiovasc Surg 2011; 59(5): 307-308
DOI: 10.1055/s-0030-1250340
Case Reports/Cardiac

© Georg Thieme Verlag KG Stuttgart · New York

Primary Resection of Kommerell's Diverticulum in a 37-Year-Old Patient

J. Kasnar-Samprec1 , C. Schreiber1 , J. Hörer1 , A. Will2 , J. Cleuziou1 , Z. Prodan1 , A. Eicken3 , R. Lange1
  • 1Department of Cardiovascular Surgery, German Heart Center Munich, Munich, Germany
  • 2Institute of Radiology and Nuclear Medicine, German Heart Center Munich, Munich, Germany
  • 3Department of Pediatric Cardiology and Congenital Heart Disease, German Heart Center Munich, Munich, Germany
Further Information

Publication History

received May 6, 2010 resubmitted July 21, 2010

accepted July 23, 2010

Publication Date:
25 March 2011 (online)

Abstract

A previously non-operated 37-year-old patient presented with esophageal dysphagia for solid food and stridorous breathing. Computed tomography and magnetic resonance showed a 33-mm wide Kommerell's diverticulum. The diverticulum and the obliterated ductus arteriosus arising from it towards the pulmonary artery were resected. The left subclavian artery, which originated from the diverticulum, was reimplanted into the descending aorta. In addition to dissecting any tissue which is making vascular ring-like structures around the trachea and the esophagus, it is important to resect the diverticulum itself and reimplant the left subclavian artery arising from it, in this way leaving the aortic arch free from any additional dislocating forces.

References

Jelena Kasnar-Samprec, M.D., Ph.D.

Department of Cardiovascular Surgery
German Heart Center Munich

Lazarettstr. 35

80636 Munich

Germany

Phone: +49 89 12 18 41 11

Fax: +49 89 12 18 41 13

Email: [email protected]