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  • Title: Rupture of Kommerell diverticulum after total arch replacement.
    Author: Agematsu K, Ueda T, Hoshino S, Nishiya Y.
    Journal: Interact Cardiovasc Thorac Surg; 2010 Dec; 11(6):800-2. PubMed ID: 20829386.
    Abstract:
    A 62-year-old man was brought to the emergency room of our hospital because of chest pain. Computed tomography revealed a right aortic arch and an aberrant left subclavian artery with Kommerell diverticulum and acute aortic dissection (Stanford type A). Total arch replacement was performed emergently through a median full sternotomy. A stomach feeding tube was placed postoperatively for the patient to receive nutrition, and esophageal bleeding was observed postoperatively. The patient died because of the bleeding. Autopsy findings showed a communication between the esophagus and Kommerell diverticulum. Rupture of Kommerell diverticulum and perforation of the esophagus were indicated.
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