ANEURYSM OF ABERRANT RIGHT SUBCLAVIAN ARTERY ARISING FROM DIVERTICULUM OF KOMMERELL - REPORT OF A CASE WITH TRACHEAL COMPRESSION

A 74-year-old woman presented with severe dyspnea without dysphagia. C omputed tomographic scans and Digital subtraction angiography revealed the left aortic arch with an aberrant right subdavian artery arising from the Kommerell's diverticulum and tracheal compression. ?he aortic arch and the Kommerell's diverticulum were aneurysmal and were respon sible for this compression. Surgical relief was accomplished by replac ement of the aortic arch and reconstruction of the four brachiocephali c vessels with vascular prostheses through a median sternotomy incisio n extending into the right supraclavicular region. (C) 1997 Elsevier S cience B.V.