1
|
El Batti S, Ben Abdallah I, Julia P, Alsac JM, Vouhé P. Crossed pulmonary arteries as additional cause of dysphagia in association with right aortic arch and Kommerell diverticulum. Surg Radiol Anat 2018; 40:1165-1168. [PMID: 30128895 DOI: 10.1007/s00276-018-2085-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2018] [Accepted: 05/16/2018] [Indexed: 11/29/2022]
Abstract
We describe an uncommon association of crossed pulmonary arteries and a right aortic arch with a Kommerell diverticulum and a left ligamentum arteriosum, resulting in disabling dysphagia in a 33-year-old woman. First, endovascular exclusion of the Kommerell diverticulum was performed using a thoracic stent graft, associated with left subclavian-carotid transposition. Second, open aneurysmorrhaphy and division of the left ligamentum arteriosum allowed a proper release of the oesophageal compression. Dysphagia completely disappeared in the postoperative course. Control computed tomography angiography at 6-month follow-up showed a satisfactory hybrid repair. A complete understanding of the combined effects of these two anatomical variations on oesophageal compression led to a suitable surgical management.
Collapse
Affiliation(s)
- Salma El Batti
- Unité de Recherche en Développement, Imagerie et Anatomie, EA4465, Université Paris Descartes, Faculté de Médecine, 45 rue des Saint-Pères, 75006, Paris, France. .,Department of Cardiovascular Surgery, Hôpital Européen Georges Pompidou, 20 rue Leblanc, 75015, Paris, France.
| | - Iannis Ben Abdallah
- Unité de Recherche en Développement, Imagerie et Anatomie, EA4465, Université Paris Descartes, Faculté de Médecine, 45 rue des Saint-Pères, 75006, Paris, France.,Department of Cardiovascular Surgery, Hôpital Européen Georges Pompidou, 20 rue Leblanc, 75015, Paris, France
| | - Pierre Julia
- Department of Cardiovascular Surgery, Hôpital Européen Georges Pompidou, 20 rue Leblanc, 75015, Paris, France
| | - Jean-Marc Alsac
- Department of Cardiovascular Surgery, Hôpital Européen Georges Pompidou, 20 rue Leblanc, 75015, Paris, France
| | - Pascal Vouhé
- Department of Cardiovascular Surgery, Hôpital Européen Georges Pompidou, 20 rue Leblanc, 75015, Paris, France
| |
Collapse
|