Jung J Y, Almond C H, Saab S B, Lababidi Z
J Thorac Cardiovasc Surg. 1978 Feb;75(2):237-43.
Five cases of right aortic arch with aberrant left subclavian artery and left ligamentum arteriosum, with or without Kommerell's diverticulum, are presented. Either right or left thoracotomy with divesion of the aberrant retroesophageal left subclavian artery can be accomplished with good results. However, a right thoracotomy is recommended in the presence of a large Kommerell diverticulum because such a diverticulum should be excised. The development of a subclavian steal syndrome later in life may be prevented by reimplantation of the divided left subclavian artery into the aorta or the left common carotid artery.
本文报告了5例右位主动脉弓合并左锁骨下动脉异常及左动脉韧带的病例，伴有或不伴有Kommerell憩室。行右侧或左侧开胸手术，游离食管后异常的左锁骨下动脉，均可取得良好效果。然而，若存在较大的Kommerell憩室，则建议行右侧开胸手术，因为这种憩室应予以切除。将离断的左锁骨下动脉重新植入主动脉或左颈总动脉，可预防后期锁骨下动脉窃血综合征的发生。
