A case of an 11monthsold girl with vomiting and laryngeal stridor is presented, and in whom a kommerell diverticulum was demonstrated, which is a rare variant. 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. Diverticulum definition of diverticulum by merriamwebster. 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. Surgical treatment is recommended for symptomatic patients or asymptomatic patients with a large diverticulum. The coexistence of kommerells diverticulum and an aberrant subclavian artery asca is a rare congenital variation of the vascular structure. A barium swallow esophagography before surgery shows significant compression of the esophagus by kommerells diverticulum arrow. Surgical repair of kommerells diverticulum and an aberrant. Aberrant right subclavian artery arteria lusoria aneurysm with a. The treatment options for aberrant right subclavian artery vary depending on the presence of kommerells diverticulum. Pdf first described in 1936, the diverticulum of kommerell dok is a dilatation of the proximal segment of an aberrant subclavian artery. The selection of treatment strategy for kommerells diverticulum should be based on the anatomy, comorbidities of the patient, and surgical expertise available.
Because there is a tendency not to report mortalities of these rare cases in the literature. Apr 27, 20 the coexistence of kommerells diverticulum and an aberrant subclavian artery asca is a rare congenital variation of the vascular structure. 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. We report our experience of treating aneurysms associated with these anomalies. However planning the strategy of operation is difficult without a 3d imaging. Dysphagia lusoria caused by kommerell diverticulum revista. Angiography demonstrates the rightsided aortic arch and aberrant left subclavian artery with a kommerells diverticulum at age 5 years a and the occluded subclavian. Before and during world war i, he studied at the schiller gymnasium in berlin 19101920, where he. Arteria subclavia derecha aberrante y disfagia lusoria pdf. Right aortic arch and kommerells diverticulum repaired. We present the case of a 54yearold man with thoracic pain due to dissection of. Dissected aberrant right subclavian artery with kommerell diverticulum.
It is unusual nomenclature, in that focal dilatations of a blood vessel are properly referred to as aneurysms. Burckhard kommerell described an aortic diverticulum for the first time in 1936 in a living patient. The summaries of open and endovascular repairs of over 210 cases from literature search from. A rightsided aortic arch with kommerells diverticulum of. However, it was originally described as a diverticular outpouching at the origin of an a. Kommerell diverticulum definition of kommerell diverticulum. The symptoms can be more frequent because of right sided aortic arch with aberrant left subclavian artery alsa. Large bowel sigmoid colon showing multiple diverticula. 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. 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.
Right sided aortic arch with kommerell diverticulum. Kommerells diverticulum and aneurysmal rightsided aortic arch. An additional esophagogram revealed a notching of the proximal esophagus from an extrinsic compression fig. 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. Aberrant right subclavian artery and kommerells diverticulum.
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