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Ann Thorac Surg 2002;73:312-313
© 2002 The Society of Thoracic Surgeons

Case report

Dyspnea lusoria: compression of the pulmonary artery by a Kommerell’s diverticulum

Mahmoud B. Malas, MDa, Mark L. Barr, MDa, Vaughn A. Starnes, MDa, Shelley Shapiro, MD, PhDa, Suzanne Palmer, MDa, Daniel S. Schwartz, MD*a

a Department of Cardiothoracic Surgery, University of Southern California, Keck School of Medicine, Los Angeles, California, USA

Accepted for publication April 26, 2001.

* Address reprint requests to Dr Schwartz, Department of Cardiothoracic Surgery, University of Southern California School of Medicine, 1510 San Pablo St, Suite 415, Los Angeles, CA 90033, USA
e-mail: dschwartz{at}surgery.usc.edu

We report a rare case of Kommerell’s diverticulum presenting as dyspnea on exertion. After careful physical examination, selective imaging tests demonstrated a significant flow abnormality in the left pulmonary artery caused by an aneurysm of the descending aorta in the area of the ligamentum arteriosum.






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