Repair of Kommerell's Diverticulum with Aberrant Left Subclavian Artery in an Elderly Patient with Right Aortic Arch and Dysphagia Lusoria

A 60-year-old femalepresented with progressive dysphagia and was found to have a right-sided aortic arch with external posterior compression of the upper esophagus due to severe compression from a Kommerell's diverticulum with an aberrant left subclavian artery. This patient underwent division of the diverticulum with an aorto-subclavian graft implantation under femoro-femoral bypass and recovered uneventfully. A review of the literature and discussion of the surgical management is presented. (J Card Surg 2011;26:637-640)