• Interact Cardiovasc Thorac Surg · Dec 2010

    Case Reports

    Rupture of Kommerell diverticulum after total arch replacement.

    • Kota Agematsu, Tetsuyuki Ueda, Shuichi Hoshino, and Yasushi Nishiya.
    • Department of Cardiovascular Surgery, Toyama Prefectural Central Hospital, 2-2-78 Nishinagae, Toyama City, Toyama 930-8550, Japan. agematsuagain@yahoo.co.jp
    • Interact Cardiovasc Thorac Surg. 2010 Dec 1;11(6):800-2.

    AbstractA 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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