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Updated: Jul 8, 2026
03:40
Three-Dimensional Printing of a Complex Aortic Anomaly
Published on: November 1, 2018
Vascular ring related to Kommerell diverticula: case report
Décio Cavalet Soares Abuchaim1, Martin Burger, Silvana Agnoletto Berwanger
1Hospital Santa Catarina, Blumenau, SC. decioabu@terra.com.br
Summary
This study details a surgical approach for a rare vascular ring anomaly in a 13-year-old female. The treatment involved complex reconstruction to correct the right aortic arch and aberrant left subclavian artery.
Area of Science:
- Cardiovascular Surgery
- Pediatric Cardiology
- Thoracic Surgery
Background:
- Vascular rings, such as a right aortic arch with aberrant left subclavian artery, are congenital anomalies that can cause significant symptoms.
- Kommerell diverticulum, an outpouching associated with these anomalies, poses surgical challenges.
- Surgical intervention is often necessary to alleviate symptoms and prevent complications.
Observation:
- A 13-year-old female presented with symptoms related to a vascular ring anomaly.
- The anomaly included a right aortic arch, anomalous origin of the left subclavian artery, and a Kommerell diverticulum.
- The patient underwent a left thoracotomy for surgical correction.
Findings:
- The surgical procedure involved resection of the ligamentum arteriosum (ductus arteriosus).
- The Kommerell diverticulum was successfully sutured.
- The anomalous left subclavian artery was reimplanted into the ipsilateral carotid artery.
Implications:
- This surgical technique offers a viable solution for complex vascular ring anomalies.
- Successful reimplantation of the left subclavian artery can restore normal blood flow and alleviate symptoms.
- This case highlights the importance of tailored surgical strategies for pediatric cardiovascular conditions.
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