Korean J Thorac Cardiovasc Surg.  2005 Mar;38(3):241-244.

Surgical Treatment of Occluded Aberrant Left Subclavian Artery with Right-sided Aortic Arch: A case report

Affiliations
  • 1Department of Thoracic and Cardiovascular Surgery, College of Medicine, Korea University, Korea. harkjkim@kumc.or.kr

Abstract

A 57-year-old man with numbness and paresthesia of left arm is presented. There was no pulse in the left arm was absent and his chest radiograph suggested right-sided aortic arch. The aortogram showed right-sided aortic arch with Kommerell's diverticulum. The proximal portion of left subclavian artery was totally occluded and blood was being supplied through vertebral arteries to distal subclavian artery. He underwent bypass grafting between both subclavian arteries by an expanded polytetrafluoroethylene graft. Because the size of Kommerell's diverticulum was small, it need to be observed closely.

Keyword

Aorta, arch; Diverticulum; Subclavian artery
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