70 results match your criteria right-sided ligamentum


Translocation of aberrant left subclavian artery and resection of Kommerell diverticulum during the concomitant repair of intracardiac anomalies.

Interact Cardiovasc Thorac Surg 2021 Jan;32(1):118-121

Pediatric Cardiac Surgery Center, National Center for Cardiovascular Disease and Fuwai Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing 100037, China.

Objectives: To assess the safety and efficacy of the translocation of the aberrant left subclavian artery (LSCA) and resection of the Kommerell diverticulum during the concomitant repair of intracardiac anomalies for paediatric patients who had a right-sided aortic arch.

Methods: A retrospective review of paediatric patients who were diagnosed right-sided aortic arch, aberrant LSCA, Kommerell diverticulum and intracardiac anomalies between 2015 and 2019 was conducted. Patients who underwent translocation of the aberrant LSCA, diverticulum resection and concomitant intracardiac repair were included. Read More

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January 2021

Analysis of right-sided ligamentum teres: The novel anatomical findings and classification.

J Hepatobiliary Pancreat Sci 2021 Feb 17;28(2):221-230. Epub 2020 Nov 17.

Division of Hepato-Biliary-Pancreatic Surgery, Shizuoka Cancer Center, Shizuoka, Japan.

Background: The true anatomy of right-sided ligamentum teres (RSLT) has not been fully explained for a century. This study aimed to clarify the exact anatomy of RSLT.

Methods: The computed tomography data of 17 651 surgical patients were observed and 76 patients with RSLT, were classified into the bilateral ligamentum teres (LT) group (type A) and three RSLT groups, (B) bifurcation type, (C) trifurcation type, and (D) independent posterior branch type. Read More

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February 2021

Hepatic volume profiles in potential living liver donors with anomalous right-sided ligamentum teres.

Abdom Radiol (NY) 2020 Oct 16. Epub 2020 Oct 16.

Division of Liver Transplantation and Hepatobiliary Surgery, and Departments of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Purpose: In living liver donors with rare anatomical anomaly of right-sided ligamentum teres (RSLT), right or left hemiliver procurement is commonly contraindicated. The purpose of this study was to evaluate the hepatic volume profiles in potential donors with RSLT using semi-automated CT volumetry (CTV).

Methods: Among 5535 potential donor candidates in our institution between April 2003 and May 2019, 23 cases of RSLT (0. Read More

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October 2020

Standalone lordotic endoscopic wedge lumbar interbody fusion (LEW-LIF™) with a threaded cylindrical peek cage: report of two cases.

J Spine Surg 2020 Jan;6(Suppl 1):S275-S284

Fundación Universitaria Sanitas, Bogotá, D.C., Colombia.

We report two cases of a standalone lordotic endoscopic wedge lumbar interbody fusion (LEW-LIF™) with a stress-neutral non-expandable cylindrical threaded polyether ether ketone (PEEK) interbody fusion implant. Patients underwent full-endoscopic transforaminal decompression and fusion for symptomatic lateral recess stenosis due to disc herniation, and hypertrophy of the facet joint complex and ligamentum flavum and no more than grade I spondylolisthesis. Lumbar interbody fusion with cages traditionally calls for posterior supplemental fixation with pedicle screws for added stability. Read More

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January 2020

Rare case of vascular ring with Kommerell diverticulum mimicking uncontrolled asthma.

Respirol Case Rep 2020 Apr 19;8(3):e00535. Epub 2020 Feb 19.

Pulmonology Department Fattouma Bourguiba Teaching Hospital Monastir Tunisia.

Anomalies of the aortic arch associated with Kommerell diverticulum (KD) are rare congenital malformations. Symptomatic thoracic vascular rings presenting in adults are rare. We report a case of a 39-year-old woman who was diagnosed with uncontrolled asthma. Read More

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A case of perihilar cholangiocarcinoma with bilateral ligamentum teres hepatis treated with hepatopancreatoduodenectomy.

Surg Case Rep 2020 Jan 30;6(1):32. Epub 2020 Jan 30.

Division of Hepato-Biliary-Pancreatic Surgery, Shizuoka Cancer Center Hospital, 1007, Shimo-Nagakubo, Sunto-Nagaizumi, Shizuoka, 411-8777, Japan.

Background: Bilateral ligamentum teres (BLT) hepatis is a very rare anomaly defined as the connection of the bilateral fetal umbilical veins to both sides of the paramedian trunk, and it has never been reported in the English literature.

Case Presentation: A 72-year-old man who presented with obstructive jaundice was referred to our hospital. Contrast-enhanced computed tomography revealed that the patient had right-sided ligamentum teres (RSLT) and left-sided ligamentum teres (LSLT). Read More

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January 2020

Modified liver hanging maneuver in laparoscopic major hepatectomy: the learning curve and evolution of indications.

Surg Endosc 2020 06 11;34(6):2742-2748. Epub 2019 Nov 11.

Department of Surgery, Eulji University College of Medicine, Dunsan 2(i)-dong, Seo-gu, Daejeon, Republic of Korea.

Background: Laparoscopic major hepatectomy is a technically challenging procedure requiring a steep learning curve. The liver hanging maneuver is a useful technique in liver resection, especially for large or invasive tumors, a relative contraindication of the laparoscopic approach. Therefore, this study aimed to evaluate the learning curve for laparoscopic major hepatectomy using the liver hanging maneuver and extended indications. Read More

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Laparoscopic left lateral sectionectomy for a patient with right-sided ligamentum teres.

Surg Case Rep 2019 Mar 15;5(1):43. Epub 2019 Mar 15.

Division of Hepato-Biliary-Pancreatic Surgery, Shizuoka Cancer Center, 1007 Shimonagakubo, Nagaizumi-cho, Sunto-gun, Shizuoka, 411-8777, Japan.

Background: A right-sided ligamentum teres (RSLT) is a rare congenital anomaly in which the fetal umbilical vein is connected to the right paramedian trunk. RSLT creates difficulty in liver resection with respect to decision-making regarding the resection line, deviation of the vasculobiliary architecture. We report a case in which laparoscopic left lateral sectionectomy (LLLS) was performed to treat colorectal liver metastasis (CRLM) in a patient with RSLT. Read More

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Is right-sided ligamentum teres hepatis always accompanied by left-sided gallbladder? Case reports and literature review.

Insights Imaging 2018 Dec 19;9(6):955-960. Epub 2018 Nov 19.

Department of Radiology, Taipei Veterans General Hospital, No. 201, Sec. 2, Shipai Rd., Beitou District, Taipei, 112, Taiwan, Republic of China.

Right-sided ligamentum teres (RSLT) hepatis is a rare anatomical variant in which the fetal umbilical vein is connected to the right paramedian trunk of the portal vein. Despite its rarity, it is crucial for surgeons and intervention specialists because of its frequent association with intrahepatic vascular and biliary anomalies. Inattention to these anomalies before intervention, especially living-donor liver transplantation, can have life-threatening consequences. Read More

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December 2018

Hepatectomy for gallbladder-cancer with unclassified anomaly of right-sided ligamentum teres: A case report and review of the literature.

World J Hepatol 2018 Jul;10(7):523-529

Department of Gastroenterological Surgery and Oncology, Tazuke Kofukai Medical Research Institute, Kitano Hospital, Osaka 530-8480, Japan.

Right-sided ligamentum teres (RSLT) is a congenital anomaly in which the right umbilical ligament becomes dominant and anomalous ramifications of the hepatic vessels and biliary system are present. A male patient in his 70s was diagnosed with advanced gallbladder cancer directly infiltrating the right hepatic duct (RHD), together with RSLT. Preoperative three-dimensional simulation of the liver based on multiple detector computed tomography images after cholangiography revealed ramifications of all segmental portal veins from the portal trunk and discordance of the arterial and biliary branching patterns of segment 8. Read More

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High thoracic ossification of ligamentum flavum causing partial Horner syndrome.

Br J Neurosurg 2021 Apr 28;35(2):231-232. Epub 2018 Feb 28.

Department of Neurosurgery, Pusan National University Yangsan Hospital, Yangsan, South Korea.

We report a case of high thoracic ossification of the ligamentum flavum (OLF) causing a partial Horner's syndrome. A 57-year-old man developed a walking disorder, as well as right-sided miosis and anhidrosis. Magnetic resonance imaging demonstrated a spinal cord compressing T2-T3 OLF. Read More

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True left-sided gallbladder: A case report and comparison with the literature for the different techniques of laparoscopic cholecystectomy for such anomalies.

Int J Surg Case Rep 2018 27;42:280-286. Epub 2017 Dec 27.

General Surgery Department, Hamad General Hospital, Hamad Medical Corporation, P.O. Box 3050, Doha, Qatar.

Introduction: True left-sided gallbladder (LSG) is a rare finding that may present with symptoms similar to those of a normally positioned gallbladder. Moreover, it may be missed by preoperative imaging studies such as ultrasound, computed tomography (CT), magnetic resonance imaging (MRI), or endoscopic ultrasound. True left-sided gallbladder is a surgical challenge and surgical technique may need to be modified for the completion of laparoscopic cholecystectomy. Read More

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December 2017

Hepatectomy for Hilar Cholangiocarcinoma with Right-Sided Ligamentum Teres Using a Hepatectomy Simulation System.

Case Rep Gastroenterol 2017 Sep-Dec;11(3):576-583. Epub 2017 Sep 27.

Department of Surgery, Hyogo College of Medicine, Nishinomiya, Japan.

Right-sided ligamentum teres (RSLT) is a rare congenital anomaly often accompanied by variation of the hepatic vasculature. We herein report a surgical case of a hilar cholangiocarcinoma with RSLT in whom preoperative hepatectomy simulation proved useful for understanding the anatomical structure of the liver. A 78-year-old male with obstructive jaundice was referred to our department for further examination. Read More

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September 2017

Implications of Left-sided Gallbladder in the Emergency Setting: Retrospective Review and Top Tips for Safe Laparoscopic Cholecystectomy.

Surg Laparosc Endosc Percutan Tech 2017 Aug;27(4):220-227

*Department of Emergency and Trauma Surgery, Parma University Hospital, Parma †Surgical Clinic, Department of Experimental and Clinical Sciences, University of Brescia, Brescia ‡Department of Emergency and Trauma Surgery, Maggiore Hospital-Bologna Local Health District, Bologna §Departmente of Surgery, Macerata Hospital, Macerata ∥Unit of General Surgery I, Papa Giovanni XXIII Hospital, Bergamo, Italy ¶David Geffen School of Medicine, University of California, Los Angeles, CA.

Background: Left-sided gallbladder without situs viscerum inversus (LSG-woSVI) is a rare congenital anomaly. Clinical features and routine presurgical imaging could miss the anomalous position, thereby producing complications during surgery. Laparoscopic cholecystectomy can be performed safely, but the risk of bile duct injury (BDI) is greater than in cholecystectomy of the orthotopic gallbladder. Read More

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Adult Onset Dysphagia: Right Sided Aortic Arch, Ductus Diverticulum, and Retroesophageal Ligamentum Arteriosum Comprising an Obstructing Vascular Ring.

Case Rep Cardiol 2017 15;2017:9614835. Epub 2017 Mar 15.

Departments of Medicine and Cardiology, Maimonides Medical Center, Brooklyn, NY, USA.

A 49-year-old African American male patient with no past medical history was admitted because of 3 months of difficulty swallowing solid and liquid foods. He had constant retrosternal discomfort and appeared malnourished. The chest radiograph revealed a right sided aortic arch with tracheal deviation to the left. Read More

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Portal vein branching order helps in the recognition of anomalous right-sided round ligament: common features and variations in portal vein anatomy.

Abdom Radiol (NY) 2017 07;42(7):1832-1838

Department of Diagnostic Imaging and Nuclear Medicine, Kyoto University Graduate School of Medicine, 54 Kawahara-cho, Shogoin, Sakyo-ku, Kyoto, 606-8507, Japan.

Purpose: This study aimed to evaluate the common features and variations of portal vein anatomy in right-sided round ligament (RSRL), which can help propose a method to detect and diagnose this anomaly.

Methods: In this retrospective study of 14 patients with RSRL, the branching order of the portal tree was analyzed, with special focus on the relationship between the dorsal branch of the right anterior segmental portal vein (P) and the lateral segmental portal vein (P), to determine the common features. The configuration of the portal vein from the main portal trunk to the right umbilical portion (RUP), the inclination of the RUP, and the number and thickness of the ramifications branching from the right anterior segmental portal vein (P) were evaluated for variations. Read More

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Dysphagia after arteria lusoria dextra surgery: Anatomical considerations before redo-surgery.

World J Cardiol 2017 Feb;9(2):191-195

Judith Mayer, Natascha van der Werf-Grohmann, Ute Spiekerkoetter, Department of Pediatrics and Adolescent Medicine, Freiburg University, 79106 Freiburg, Germany.

Aberrant right subclavian artery (arteria lusoria) is the most common congenital root anomaly, remaining asymptomatic in most cases. Nevertheless, some of the 20%-40% of those affected present tracheo-esophageal symptoms. We report on a 6-year-old previously healthy girl presenting with progressive dysphagia over 4 wk. Read More

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February 2017

Assessment of children with vascular ring.

Pediatr Int 2017 Feb 31;59(2):134-140. Epub 2016 Oct 31.

Department of Pediatric Cardiovascular Surgery, Mehmet Akif Ersoy Cardiovascular Research and Training Hospital, Istanbul, Turkey.

Background: Vascular rings may cause pressure on the trachea and/or esophagus of varying degree, resulting in symptoms. This study assessed the presentation symptoms, diagnostic methods and treatment results after surgery in children with vascular ring.

Methods: Symptomatic vascular ring patients undergoing surgery between January 2010 and August 2014 at Mehmet Akif Ersoy Cardiovascular Research and Training Hospital, Istanbul, were retrospectively assessed. Read More

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February 2017

[Closure of pancreas stump after distal and segmental resection : Suture, stapler, coverage or anastomosis?]

Chirurg 2017 Jan;88(1):25-29

Klinik für Allgemein-, Viszeral- und Transplantationschirurgie, Universitätsklinikum Heidelberg, Im Neuenheimer Feld 110, 69120, Heidelberg, Deutschland.

Postoperative pancreatic fistulas represent the most frequent complication after distal and segmental pancreatectomy and occur with a frequency of up to 50 %. There are many technical variations of pancreatic stump treatment for reduction of fistula rates after distal resection. Most of these techniques have only been analyzed in retrospective studies and the evidence for or against a specific technique is low. Read More

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January 2017

Biliary architecture of livers exhibiting right-sided ligamentum teres: an indication for preoperative cholangiography prior to major hepatectomy.

HPB (Oxford) 2016 11 1;18(11):929-935. Epub 2016 Sep 1.

Department of Surgery, Kyoto-Katsura Hospital, Japan.

Objective: To obtain information about the basic biliary anatomy of livers with right-sided ligamentum teres (RSLT).

Summary Of Background Data: RSLT is a relatively rare anomaly with a reported incidence of 0.2-1. Read More

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November 2016

The right-sided aortic arch with unusual course of bilateral recurrent laryngeal nerves: a report of rare variations.

Surg Radiol Anat 2017 Feb 24;39(2):223-228. Epub 2016 Jun 24.

Department of Anatomy, School of Medicine, Iwate Medical University, 2-1-1, Nishi-Tokuta, Yahaba-cho, Shiwa-Gun, Iwate, 028-3694, Japan.

We describe a rare case of the right-sided aortic arch, the unusual origin of the main arterial vessels and the unusual courses of bilateral recurrent laryngeal nerves in a Japanese cadaver. Chiefly, the right-sided aortic arch turned to the left side from the dorsal part of the trachea and esophagus, and Kommerell's diverticulum was found at the end of the arch. The right common carotid artery arose from the end part of the ascending aorta, but the left common carotid artery arose from the proximal portion of the ascending aorta. Read More

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February 2017

Lateral approach liver hanging maneuver in laparoscopic anatomical liver resections.

Surg Endosc 2016 08 5;30(8):3611-7. Epub 2015 Nov 5.

Department of Surgery, College of Medicine and Medical Research Institute, Chungbuk National University, Cheong-ju, Republic of Korea.

Background: The liver hanging maneuver is a novel technique that is widely used in open liver resection. The hanging technique has been rarely applied during laparoscopic liver resection because a blind dissection between the anterior surface of the inferior vena cava and the liver is required. Dissection between the right and middle hepatic vein is necessary in right hepatectomy, as is dissection between the middle and left hepatic vein in left hepatectomy. Read More

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Simultaneous Repair of Right-Sided Coarctation and Vascular Ring.

Ann Thorac Surg 2015 Jul;100(1):334-6

Division of Congenital Heart Surgery, Texas Children's Hospital, and Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas. Electronic address:

We present the case of a 4-year old girl with posterior fossa-hemangioma-arterial lesions-cardiac abnormalities/coarctation-eye abnormalities (PHACE) syndrome, an atypical, long-segment, right-sided coarctation of the aorta and vascular ring secondary to an aberrant left subclavian artery and left ligamentum. Simultaneous repair of both lesions was accomplished using a novel technique that included reimplantation of the aberrant left subclavian artery and translocation of the descending aorta to the proximal ascending aorta. Read More

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Asymptomatic right circumflex aortic arch associated with ventricular septal defect and biscuspid aortic valve.

Heart Surg Forum 2015 Jun 26;18(3):E114-5. Epub 2015 Jun 26.

Pediatric Cardiology Unit, Geneva University Children's Hospital, Geneva.

Introduction: Anomalies of the aortic arch are frequent congenital malformations, which rarely form partial or complete vascular rings. A rare form of vascular ring is the encircling, or circumflex, aortic arch.

Case Report: A 19-month-old boy, with no respiratory symptoms, was referred for ventricular septal defect (VSD) repair. Read More

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[A case of combined hepatocellular and cholangiocarcinoma with right-sided ligamentum teres hepatis treated via extended left hepatic lobetectomy].

Gan To Kagaku Ryoho 2014 Nov;41(12):2077-9

Dept. of Surgery, Division of Digestive Surgery, Kyoto Prefectural University of Medicine.

A 78-year-old man presented with fever and jaundice. Computed tomography (CT) revealed a hepatocellular carcinoma in the hepatic left lobe as well as right-sided ligamentum teres (RSLT). Extended left hepatic lobetectomy was performed without division at the left Glissonian root in order to preserve the Glissonian branch at segment 8. Read More

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November 2014

Video assisted thoracoscopic surgery cases with right-sided aortic arch aneurysm and complete vascular ring: Case report.

Int J Surg Case Rep 2015 11;6C:188-90. Epub 2014 Dec 11.

Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran. Electronic address:

Introduction: Right-sided aortic arch with aberrant left subclavian artery and ligamentum arteriosum, after double aortic arch, is the second most common complete vascular ring. It was traditionally treated by open surgical thoracotomy and recently video assisted thoracoscopic surgery (VATS) has been used in some cases.

Presentation Of Case: We describe the cases of two infants who presented with gastroesophageal reflux, dyspnea, dysphagia secondary to aneurysmal dilatation of the retroesophageal arch confirmed by imaging data. Read More

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January 2015

Vascular ring diagnosis following respiratory arrest.

BMJ Case Rep 2014 Jun 3;2014. Epub 2014 Jun 3.

Department of Paediatric Surgery, Leeds General Infirmary, Leeds, UK.

Vascular rings can present with non-specific respiratory and/or oesophageal symptoms. Early diagnosis requires a high index of suspicion. This case report describes an uncommon acute presentation of a vascular ring. Read More

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Reconstruction of the left-sided brachiocephalic trunk after vascular ring operation in left-handed child with Kommerell's diverticulum.

Postepy Kardiol Interwencyjnej 2013 17;9(2):146-9. Epub 2013 Jun 17.

Department of Rehabilitation, Medical University of Gdansk, Poland.

We report a case of a 2-year-old girl with prenatal diagnosis of vascular ring composed of a right-sided aortic arch, a left ligamentum arteriosum, and a left subclavian artery (arteria lusoria sin) originating from a retroesophageal Kommerell's diverticulum, who was referred for surgery with symptoms related to local compression - severe dysphagia and respiratory disorders. Through the left posterolateral thoracotomy, a ligamentum arteriosum between the Kommerell's diverticulum and the left pulmonary artery was divided and because of left-handedness of the child a brachiocephalic trunk was reconstructed in the fashion of anastomosis of the left subclavian artery and the left common carotid artery, originating from the ascending aorta. Read More

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February 2014

Repair of vascular ring with resection of kommerell diverticulum and transposition of aberrant left subclavian artery.

Int J Angiol 2013 Dec;22(4):243-4

Division of Pediatric Cardiothoracic Surgery, Steven and Alexandra Cohen Children's Medical Center of New York, New Hyde Park, New York.

A 32-year-old female presented with dysphagia. Radiographic studies revealed external compression of esophagus by a vascular ring. The anatomy was a right-sided aortic arch with aberrant retroesophageal left subclavian artery, emanating from a large Kommerell diverticulum (KD). Read More

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December 2013

Aortic arch replacement through a left thoracotomy for right-sided aortic arch aneurysm with complete vascular ring.

Ann Thorac Surg 2014 Jan;97(1):317-9

Division of Cardiac Surgery, Department of Surgery, Heart and Vascular Center, Wexner Medical Center, The Ohio State University, Columbus, Ohio. Electronic address:

Right-sided aortic arch with retroesophageal left subclavian artery and left ligamentum arteriosum is the second most common vascular ring. Aneurysms of the arch in its retroesophageal portion are rare. The surgical repair of a retroesophageal arch aneurysm poses a significant challenge because no single approach provides access to the whole arch and all of its branches. Read More

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January 2014