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)