Translocation of aberrant left subclavian artery and resection of Kommerell diverticulum during the concomitant repair of intracardiac anomalies

1Citations
Citations of this article
6Readers
Mendeley users who have this article in their library.

Abstract

OBJECTIVES: To assess the safety and efficacy of the translocation of the aberrant left subclavian artery (LSCA) and resection of the Kommerell diverticulum during the concomitant repair of intracardiac anomalies for paediatric patients who had a right-sided aortic arch. METHODS: A retrospective review of paediatric patients who were diagnosed right-sided aortic arch, aberrant LSCA, Kommerell diverticulum and intracardiac anomalies between 2015 and 2019 was conducted. Patients who underwent translocation of the aberrant LSCA, diverticulum resection and concomitant intracardiac repair were included. RESULTS: Eight patients underwent translocation of aberrant LSCA, diverticulum resection, ligamentum division and concomitant repair of the associated intracardiac anomalies. All patients were male. The median age was 1.3 years (range 0.4-5.5 years) and the median weight was 10.0 kg (range 6.1-21.0 kg). The most commonly combined intracardiac anomaly was a ventricular septal defect. Seven patients (87.5%) had preoperative respiratory or gastrointestinal symptoms. There was no early mortality and no postoperative complications. During the median follow-up of 23 months (range 4-43 months), no patient had residual respiratory or gastrointestinal symptoms. A postoperative computed tomography scan was performed in 3 patients, all of which showed patent LSCA-left carotid artery anastomosis. CONCLUSIONS: Translocation of the aberrant LSCA and resection of the Kommerell diverticulum can be safely performed during the concomitant repair of intracardiac anomalies for paediatric patients. This approach could eliminate residual respiratory and gastrointestinal symptoms, and prevent reintervention in the future.

References Powered by Scopus

Kommerell's diverticulum and right-sided aortic arch: A cohort study and review of the literature

307Citations
N/AReaders
Get full text

Trends in vascular ring surgery

218Citations
N/AReaders
Get full text

Primary resection of kommerell diverticulum and left subclavian artery transfer

104Citations
N/AReaders
Get full text

Cited by Powered by Scopus

Unusual cause of chest pain and dysphagia in a middle-aged woman with right aortic arch and aberrant left subclavian artery

0Citations
N/AReaders
Get full text

Register to see more suggestions

Mendeley helps you to discover research relevant for your work.

Already have an account?

Cite

CITATION STYLE

APA

An, K., Li, S., Yan, J., Wang, X., & Hua, Z. (2021). Translocation of aberrant left subclavian artery and resection of Kommerell diverticulum during the concomitant repair of intracardiac anomalies. Interactive Cardiovascular and Thoracic Surgery, 32(1), 118–121. https://doi.org/10.1093/icvts/ivaa226

Readers over time

‘21‘22‘2300.511.52

Readers' Seniority

Tooltip

PhD / Post grad / Masters / Doc 3

75%

Researcher 1

25%

Readers' Discipline

Tooltip

Medicine and Dentistry 5

100%

Save time finding and organizing research with Mendeley

Sign up for free
0