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Related Concept Videos

Aneurysm I: Introduction01:30

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An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
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Aneurysm II: Clinical Manifestations and Diagnostic Studies01:21

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Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
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Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
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IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
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The Aorta01:14

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The aorta is the largest artery in the human body. It originates from the left ventricle of the heart and extends down to the abdomen, where it splits into two smaller arteries. Structurally, it can be divided into four main parts: the ascending aorta, the aortic arch, the thoracic aorta, and the abdominal aorta.
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Related Experiment Video

Updated: Apr 23, 2026

Three-Dimensional Printing of a Complex Aortic Anomaly
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Right-sided aortic arch with Kommerell's aneurysm.

Sanjay Orathi Patangi1, Rajendra Kumar Singh, Henning Pauli

  • 1Department of Cardiothoracic Anaesthesia and Intensive Care, Freeman Hospital, Newcastle Upon Tyne, United Kingdom.

Annals of Cardiac Anaesthesia
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Summary

A rare Kommerell's aneurysm with a right-sided aortic arch caused progressive dysphagia in a 55-year-old woman. This case report details the management and perioperative challenges of this uncommon vascular anomaly.

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Area of Science:

  • Cardiovascular Surgery
  • Vascular Anomalies
  • Thoracic Surgery

Background:

  • Right-sided aortic arch is a rare congenital anomaly.
  • Kommerell's aneurysm is a dilatation of the proximal ascending aorta or aortic arch.
  • The combination of these two anomalies is exceptionally rare and presents unique clinical challenges.

Observation:

  • A 55-year-old female presented with progressive dysphagia.
  • Diagnostic imaging revealed a Kommerell's aneurysm associated with a right-sided aortic arch.
  • The dysphagia was attributed to extrinsic compression by the aberrant vascular structures.

Findings:

  • The patient underwent surgical intervention to address the Kommerell's aneurysm and right-sided aortic arch.
  • Management involved careful perioperative planning due to the complex anatomy.
  • Successful surgical correction was achieved, alleviating the dysphagia.

Implications:

  • This case highlights the importance of recognizing rare aortic arch anomalies.
  • Effective management requires a multidisciplinary approach and meticulous surgical technique.
  • Understanding these anomalies is crucial for improving patient outcomes in thoracic and vascular surgery.