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Eur J Cardiothorac Surg 2005;27:347
© 2005 Elsevier Science NL


Images in cardio-thoracic surgery

Rupture of a Kommerel's diverticle in a right aortic arch in aortic dissection Stanford type B

Karsten Knoblocha,c,*, Artur Lichtenbergb, Joachim Lotzb, Axel Havericha

a Department of Cardiothoracic and Vascular Surgery, Hannover Medical School, Hannover, Germany
b Department of Radiology, Hannover Medical School, Hannover, Germany
c Department of Trauma Surgery, Hannover Medical School, Carl-Neuberg-Str.1, 30625 Hannover, Germany

Received 27 September 2004; received in revised form 28 October 2004; accepted 29 October 2004.

* Corresponding author. Address: Department of Trauma Surgery, Hannover Medical School, Carl-Neuberg-Str.1, 30625 Hannover, Germany. Tel.: +49 511 532 2181; fax: +49 511 532 5404. (E-mail: kknobi{at}yahoo.com).

Key Words: Kommerel diverticle • Aneurysm • Dissection • Cerebral perfusion • Computertomography

A 55-year-old male suffered acute thoracic pain, vertigo and hypertension. Due to emergent symptoms, emergency surgical repair was performed as distal aortic arch replacement under hypothermic circulatory arrest and antegrade cerebral perfusion, proximal descendens aortic replacement, and subsequent bilateral subclavian artery bypass in a single procedure (Figs. 1 and 2).



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Fig. 1. Thoracic-3D-computertomography reconstruction indicating a rupture of a Kommerel diverticle in right aortic arch and its close relationship to the esophagus (blue) causing sometimes dysphagia lusoria. (For interpretation of the references to colour in this figure legend, the reader is referred to the web version of this article.)

 



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Fig. 2. CT scan demonstrating the Kommerel diverticle in aortic dissection Stanford type B in right descending aorta.

 



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K. Knobloch, A. Gohritz, and P. M. Vogt
eComment: A tribute to Burckhard F. Kommerell - a German radiologist
Interactive CardioVascular and Thoracic Surgery, August 1, 2008; 7(4): 732 - 732.
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