Author/Authors :
Abassi Tashnizi, Mohammad Associate Professor of Cardiac Surgery - Faculty of Medicine - Mashhad University of Medical Sciences, Mashhad, IR Iran , Ghorbanzadeh, Atefeh Medical Student - Student Research Committee - Mashhad University of Medical Sciences, Mashhad, IR Iran , Zirak, Nahid Associate Professor of Anesthesiology - Cardiac Anesthesia Research Center - Faculty of Medicine - Mashhad University of Medical Sciences, Mashhad, IR Iran , Hoseinikhah, Hamid Assistant Professor of Cardiac Surgery - Faculty of Medical Sciences - Mashhad University of Medical Sciences, Mashhad, IR Iran , Moeinipour, Aliasghar Assistant Professor of Cardiovascular Surgery - Faculty of Medicine - Mashhad University of Medical Sciences, IR Iran
Abstract :
A right-sided aortic arch with an aberrant left subclavian artery and a Kommerell diverticulum is a very
rare finding, and it can cause tracheoesophageal compression.
We describe a 45-year-old female patient with a right-sided aortic arch in tandem with an aberrant left
subclavian artery and a Kommerell diverticulum. She had an 8-month history of mild dysphagia and
nausea. Reconstruction of the aberrant left subclavian artery was not possible because of its deep
position and exposure limitation; the artery was, therefore, simply ligated between 2 clamps.
Ligation of an aberrant left subclavian artery is acceptable when it is difficult to access the artery or
when the artery has a narrow orifice.
Keywords :
Aberrant left subclavian artery , Kommerell diverticulum , Right-sided aortic arch , Ligation
