Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Surgical Correction of Complete Vascular Ring Associated with Kommerell's Diverticulum

Kommerell 게실과 동반된 완전 혈관륜의 수술적 교정

  • Kim, Hee-Jung (Division of Pediatric Cardiac Surgery, Asan Medical Center, Ulsan University) ;
  • Jung, Sung-Ho (Division of Pediatric Cardiac Surgery, Asan Medical Center, Ulsan University) ;
  • Kim, Kyung-Mo (Division of Pediatric Cardiac Surgery, Asan Medical Center, Ulsan University) ;
  • Yun, Tae-Jin (Division of Pediatric Cardiac Surgery, Asan Medical Center, Ulsan University)
  • 김희중 (울산대학교 의과대학 서울아산병원 흉부외과) ;
  • 정성호 (울산대학교 의과대학 서울아산병원 흉부외과) ;
  • 김경모 (울산대학교 의과대학 서울아산병원 흉부외과) ;
  • 윤태진 (울산대학교 의과대학 서울아산병원 흉부외과)
  • Published : 2006.12.05
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Abstract

An 11-month old girl with a feeding difficulty and recurrent aspiration pneumonia received surgical correction of complete vascular ring, which was formed by right aortic arch, aberrant left subclavian artery(LSCA) originating from Kommerell's diverticulum(KD) and ligamentum arteriosum. Through left posterolateral thoracotomy, the ligamentum arteriosum was divided to relieve the tracheo-esophageal bundle. KD was separated from the right descending aorta, and the left subclavian artery was severed from KD at its origin and trasfered to the side wall of left common carotid artery. Postoperative course was uneventful, and the patient has been followed up with a clinical improvement.

수유 곤란과 반복적인 흡인성 폐렴을 주소로 내원한 11개월 된 여아가 우대동맥궁, Kommerell 게실, 식도 후방의 좌쇄골하 및 동맥관 인대로 형성된 완전 혈관륜을 진단 받고 수술적 교정을 받았다. 수술은 좌측 후측 개흉 후 동맥관 인대를 분리하여 식도 압박 요인을 제거하고, Kommerell 게실을 하행대동맥으로부터 분리, 절제한 후 좌쇄골하 동맥을 좌측 총경동맥으로 단측 문합하였다. 환아의 수술 경과는 양호하였으며, 현재 외래 관찰 중이다.

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References

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