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The authors report a case of a 65-year-old male patient who, after complaint about retrosternal discomfort and going through a thoracic radiography with mediastinal enlargement, was submitted to magnetic resonance angiography, which detected a right aortic arch with aberrant left subclavian artery and Kommerell diverticulum. A literature review was the basis for our clinical conduct, for the surgical treatment is complex. The patient presented improvement with clinical treatment and, currently,doi:10.1590/s0066-782x2009001200026 pmid:20379620 fatcat:fkau2dh4cvcopgrbewu3gmp2xq