Dysphagia lusoria caused by kommerell diverticulum revista. Kommerells diverticulum and aneurysmal rightsided aortic arch. Angiography demonstrates the rightsided aortic arch and aberrant left subclavian artery with a kommerells diverticulum at age 5 years a and the occluded subclavian artery and the kommerells aneurysm at age 21 years b. Angiography demonstrates the rightsided aortic arch and aberrant left subclavian artery with a kommerells diverticulum at age 5 years a and the occluded subclavian. However planning the strategy of operation is difficult without a 3d imaging. Aberrant right subclavian artery and kommerells diverticulum. A 62yearold male presented to the outpatient department of chest with history of dry cough since two months and swelling on the anterior aspect of neck of 30year duration. Kommerell diverticulum definition of kommerell diverticulum. Diverticulum definition of diverticulum by merriamwebster. Right aortic arch, kommerells diverticulum and aberrant left subclavian artery. Before and during world war i, he studied at the schiller gymnasium in berlin 19101920, where he became a skillful pianist and a prolific composer. Aberrant right subclavian artery arteria lusoria aneurysm with a. Jan 31, 2015 the selection of treatment strategy for kommerells diverticulum should be based on the anatomy, comorbidities of the patient, and surgical expertise available.
This saccular aneurysmal dilation at the origin of aberrant subclavian artery consists of an aneurysm of the thoracic aorta as well as an aneurysmal opening of an aberrant subclavian artery 2, 3. Right sided aortic arch with kommerell diverticulum. Arteria subclavia derecha aberrante y disfagia lusoria pdf. Pdf first described in 1936, the diverticulum of kommerell dok is a dilatation of the proximal segment of an aberrant subclavian artery. The symptoms can be more frequent because of right sided aortic arch with aberrant left subclavian artery alsa. Kommerells diverticulum and rightsided aortic arch. We report our experience of treating aneurysms associated with these anomalies. A barium swallow esophagography before surgery shows significant compression of the esophagus by kommerells diverticulum arrow. A kommerell diverticulum refers to the bulbous configuration of the origin of an aberrant left subclavian artery in the setting of a rightsided aortic arch.
Burckhard kommerell described an aortic diverticulum for the first time in 1936 in a living patient. It is unusual nomenclature, in that focal dilatations of a blood vessel are properly referred to as aneurysms. B an illustration shows the obliteration of kommerells diverticulum and the aortosubclavian bypass by artificial conduit arrowhead. We present the case of a 54yearold man with thoracic pain due to dissection of. However, it was originally described as a diverticular outpouching at the origin of an a. Arena, md, gerard bruin, md, frcpc, and catherine m. The coexistence of kommerells diverticulum and an aberrant subclavian artery asca is a rare congenital variation of the vascular structure. Before and during world war i, he studied at the schiller gymnasium in berlin 19101920, where he. The summaries of open and endovascular repairs of over 210 cases from literature search from. Dissected aberrant right subclavian artery with kommerell diverticulum. Because there is a tendency not to report mortalities of these rare cases in the literature. Any information contained in this pdf file is automatically generated from digital. A diverticulum of kommerell has been reported to be present in 20% to 60% of individuals. Large bowel sigmoid colon showing multiple diverticula.
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