{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T15:48:55Z","timestamp":1778946535389,"version":"3.51.4"},"reference-count":11,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2023,11,10]],"date-time":"2023-11-10T00:00:00Z","timestamp":1699574400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,11,10]],"date-time":"2023-11-10T00:00:00Z","timestamp":1699574400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Cardiothorac Surg"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Kommerell\u2019s diverticulum with a right-sided aortic arch and aberrant left subclavian artery is uncommon. We perforemed a single-stage procedure with the frozen elephant trunk technique.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation<\/jats:title>\n                    <jats:p>A 62-year-old man underwent aortic dissection a year ago, and computerized tomographic angiography performed at that time revealed a right aortic arch, Kommerell\u2019s diverticulum (42\u00a0mm), and an aberrant left subclavian artery. We performed one-stage repair through median sternotomy. The cervical branches were exposed during the operation, and a deep hypothermic circulatory arrest with antegrade cerebral perfusion was established. The aorta was transected distally to the origin of the left carotid artery. We inserted a stent graft into the aorta, followed by peripheral anastomosis using a premade 5-branch Dacron graft. The right subclavian artery and the aorta were reconstructed, and the remaining cervical branches were reconstructed after the cross-clamp had been released.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Total arch replacement through median sternotomy was performed for the right aortic arch, Kommerell\u2019s diverticulum, and aberrant left subclavian artery. The frozen elephant trunk technique is allowed to perform a one-stage operation safely.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s13019-023-02425-9","type":"journal-article","created":{"date-parts":[[2023,11,10]],"date-time":"2023-11-10T12:02:24Z","timestamp":1699617744000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Total arch replacement with frozen elephant trunk technique for Kommerell\u2019s diverticulum with a right-sided aortic arch and aberrant left subclavian artery"],"prefix":"10.1186","volume":"18","author":[{"given":"Naoto","family":"Yabu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomoyuki","family":"Minami","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryo","family":"Izubuchi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takahiro","family":"Kojima","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ichiya","family":"Yamazaki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2023,11,10]]},"reference":[{"key":"2425_CR1","first-page":"109","volume":"29","author":"AM Jacques","year":"2002","unstructured":"Jacques AM, van Son IE, Konstantinov. Burckhard F. Kommerell and Kommerell\u2019s diverticulum. Tex Heart Inst J. 2002;29:109\u201312.","journal-title":"Tex Heart Inst J"},{"key":"2425_CR2","doi-asserted-by":"publisher","first-page":"491","DOI":"10.2214\/ajr.146.3.491","volume":"146","author":"WH Shuford","year":"1986","unstructured":"Shuford WH, Sybers RG, Gordon IJ, et al. Circumflex retroesophageal right aortic arch simulating mediastinal tumor or dissecting aneurysm. AJR Am J Roentgenol. 1986;146:491\u20136.","journal-title":"AJR Am J Roentgenol"},{"key":"2425_CR3","doi-asserted-by":"publisher","first-page":"722","DOI":"10.1136\/hrt.28.6.722","volume":"28","author":"AR Hastreiter","year":"1966","unstructured":"Hastreiter AR, D\u2019Cruz IA, Cantez T, et al. Rightsided aorta. I. Occurrence of right aortic arch in various types of congenital heart disease. II. Right aortic arch, right descending aorta, and associated anomalies. Br Heart J. 1966;28:722\u201339.","journal-title":"Br Heart J"},{"key":"2425_CR4","unstructured":"Ota T, Okada K, Takanashi S et al. l. Surgical treatment for Kommerell\u2019s diverticulum. J Vasc Surg. 2004;39:131\u20139."},{"key":"2425_CR5","doi-asserted-by":"publisher","first-page":"131","DOI":"10.1016\/j.jvs.2003.07.021","volume":"39","author":"CS Cin\u00e0","year":"2004","unstructured":"Cin\u00e0 CS, Althani H, Pasenau J, et al. Kommerell\u2019s diverticulum and right-sided aortic arch: a cohort study and review of the literature. J Vasc Surg. 2004;39:131\u20139.","journal-title":"J Vasc Surg"},{"key":"2425_CR6","doi-asserted-by":"crossref","unstructured":"Hosoba T, Suzuki T, Asai et al. Surgical repair of Kommerell\u2019s diverticulum and an aberrant subclavian artery. Surg Today. 2014;44:247\u201351.","DOI":"10.1007\/s00595-013-0602-9"},{"key":"2425_CR7","doi-asserted-by":"crossref","unstructured":"Frigatti P, Grego F, Deriu GP et al. Hybrid endovascular treatment of aneurysm degeneration in a rare right-aortic arch anomaly with Kommerell diverticulum. J Vasc Surg. 2009;50:903\u20136.","DOI":"10.1016\/j.jvs.2009.04.065"},{"key":"2425_CR8","doi-asserted-by":"publisher","first-page":"511","DOI":"10.1111\/j.1540-8191.2012.01488.x","volume":"27","author":"TB Albacker","year":"2012","unstructured":"Albacker TB, Roselli EE, Pettersson GB, et al. Surgical management of right aortic arch with tailored surgical approach. J Card Surg. 2012;27:511\u20137.","journal-title":"J Card Surg"},{"key":"2425_CR9","doi-asserted-by":"crossref","unstructured":"Esposito RA, Khalil I, Galloway AC et al. Surgical treatment for aneurysm of aberrant subclavian artery based on a case report and a review of the literature. J Thorac Cardiovasc Surg. 1988;95:888\u201391.","DOI":"10.1016\/S0022-5223(19)35702-2"},{"key":"2425_CR10","doi-asserted-by":"crossref","unstructured":"Kamiya H, Knobloch K, Lotz J et al. Surgical treatment of aberrant right subclavian artery (arteria lusoria) aneurysm using three different methods. Ann Thorac Surg. 2006;82:187\u201390.","DOI":"10.1016\/j.athoracsur.2006.02.080"},{"key":"2425_CR11","doi-asserted-by":"crossref","unstructured":"Nakanagam H, Morimura H, Hiraiwa N et al. Hybrid repair in a patient with Kommerell diverticulum and right aortic arch. J Card Surg. 2019;48:361\u20134.","DOI":"10.4326\/jjcvs.48.361"}],"container-title":["Journal of Cardiothoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13019-023-02425-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13019-023-02425-9\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13019-023-02425-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,10]],"date-time":"2023-11-10T12:04:20Z","timestamp":1699617860000},"score":1,"resource":{"primary":{"URL":"https:\/\/cardiothoracicsurgery.biomedcentral.com\/articles\/10.1186\/s13019-023-02425-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,11,10]]},"references-count":11,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2023,12]]}},"alternative-id":["2425"],"URL":"https:\/\/doi.org\/10.1186\/s13019-023-02425-9","relation":{"has-preprint":[{"id-type":"doi","id":"10.21203\/rs.3.rs-2663823\/v1","asserted-by":"object"}]},"ISSN":["1749-8090"],"issn-type":[{"value":"1749-8090","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,11,10]]},"assertion":[{"value":"7 March 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"3 November 2023","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"10 November 2023","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"The authors declare no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"317"}}