{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,11]],"date-time":"2026-05-11T20:04:01Z","timestamp":1778529841071,"version":"3.51.4"},"reference-count":14,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,4,28]],"date-time":"2024-04-28T00:00:00Z","timestamp":1714262400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,4,28]],"date-time":"2024-04-28T00:00:00Z","timestamp":1714262400000},"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":["surg case rep"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Kommerell diverticulum (KD) with right aortic arch and aberrant left subclavian artery (ALSCA) is a rare congenital aortic anomaly. To improve organ compression symptoms and avoid rupture of aneurysms in adulthood (19 years old\u2013), surgical treatment is considered the only curative option. However, in childhood (\u201318 years old), several problems regarding approach and technique selection have been reported. Surgical treatment for KD in infancy (birth\u20132 years old) has been reported recently, but rarely in adolescence (13\u201319 years old). We herein report a case of KD in which the patient underwent graft replacement during adolescence. <\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>A 13-year-old boy was admitted to our hospital presenting with dysphagia and body weight loss. Esophagography showed upper esophageal stenosis caused by extrinsic compression. Contrast-enhanced computer tomography showed saccular aneurysm formation of KD with right aortic arch (RAA) and ALSCA. Elective surgery including KD resection and graft replacement of the descending aorta was performed via right thoracotomy under partial extracorporeal circulation. The ALSCA was reconstructed by graft interposition. No postoperative complication was observed. Follow-up esophagography showed no residual stenosis.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>We experienced a case of KD with dysphagia and weight loss in adolescence, which was successfully treated with surgery. Graft replacement could be an effective treatment option, facilitating recovery even during the growth period.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s40792-024-01904-y","type":"journal-article","created":{"date-parts":[[2024,4,28]],"date-time":"2024-04-28T04:01:29Z","timestamp":1714276889000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["A case of Kommerell diverticulum in adolescence presented with dysphagia"],"prefix":"10.1186","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0506-4199","authenticated-orcid":false,"given":"Hiroharu","family":"Shinjo","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hirono","family":"Satokawa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroki","family":"Wakamatsu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hitoshi","family":"Yokoyama","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,4,28]]},"reference":[{"key":"1904_CR1","unstructured":"Stewart JR, Kincaid OW, Edwards JE. An Atlas of vascular rings and related malformation of the aortic arch system. Charles C Thomas, Springfield, p 3\u2013129, 1964."},{"key":"1904_CR2","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, Abouzahr L. 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":"1904_CR3","first-page":"590","volume":"54","author":"B Kommerell","year":"1936","unstructured":"Kommerell B. Displacement of the oesophagus by an abnormal artery subclavia dextra (Arteria Lusoria). 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Cardiovasc Intervent Radiol. 2005;28:553\u201360.","journal-title":"Cardiovasc Intervent Radiol"},{"key":"1904_CR7","doi-asserted-by":"publisher","first-page":"605","DOI":"10.1093\/ejcts\/ezab432","volume":"61","author":"D Yu","year":"2022","unstructured":"Yu D, Guo Z, You X, Peng W, Qi J, Sun J, et al. Long-term outcomes in children undergoing vascular ring division: a multi-institution experience. Eur J Cardiothorac Surg. 2022;61:605\u201313.","journal-title":"Eur J Cardiothorac Surg"},{"key":"1904_CR8","doi-asserted-by":"publisher","first-page":"1612","DOI":"10.1016\/j.athoracsur.2012.05.101","volume":"94","author":"CL Backer","year":"2012","unstructured":"Backer CL, Russell HM, Wurlitzer KC, Rastatter JC, Rigsby CK. Primary resection of Kommerell diverticulum and left subclavian artery transfer. Ann Thorac Surg. 2012;94:1612\u20138.","journal-title":"Ann Thorac Surg"},{"key":"1904_CR9","doi-asserted-by":"publisher","first-page":"1423","DOI":"10.1016\/j.jtcvs.2013.11.026","volume":"148","author":"H Tukui","year":"2014","unstructured":"Tukui H, Aomi S, Yamazaki K. Surgical strategy for Kommerell\u2019s diverticulum: total arch replacement. J Thorac Cardiovasc Surg. 2014;148:1423\u20137.","journal-title":"J Thorac Cardiovasc Surg"},{"key":"1904_CR10","doi-asserted-by":"publisher","first-page":"574","DOI":"10.1016\/j.jtcvs.2005.10.012","volume":"131","author":"T Ota","year":"2006","unstructured":"Ota T, Okada K, Takanashi S, Yamamoto S, Okita Y. Surgical treatment for Kommerell\u2019s diverticulum. 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