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  • Title: Endovascular repair of ruptured aberrant left subclavian artery with right aortic arch.
    Author: Motoki M, Hattori K, Kato Y, Takahashi Y, Kotani S, Nishimura S, Shibata T.
    Journal: Ann Thorac Surg; 2013 Feb; 95(2):699-701. PubMed ID: 23336883.
    Abstract:
    Association of a right-sided aortic arch with an aberrant left subclavian artery is rare. We present a case of successful endovascular repair of a ruptured Kommerell diverticulum associated with a right-sided aortic arch and aberrant left subclavian artery. We treated a 47-year-old woman with a diagnosis of ruptured aberrant left subclavian artery with thoracic endovascular stent-grafts. The descending aorta above Kommerell diverticulum was a reverse-tapered configuration. We managed the rather hostile neck with an extra-large Palmaz stent. A left carotid-to-subclavian bypass with an 8-mm Dacron graft was also performed to restore left arm perfusion and prevent vertebrobasilar insufficiency.
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