Kommerell diverticulum definition of kommerell diverticulum. We report our experience of treating aneurysms associated with these anomalies. Dissected aberrant right subclavian artery with kommerell diverticulum. The treatment options for aberrant right subclavian artery vary depending on the presence of kommerells diverticulum. Arena, md, gerard bruin, md, frcpc, and catherine m. B an illustration shows the obliteration of kommerells diverticulum and the aortosubclavian bypass by artificial conduit arrowhead. However, it was originally described as a diverticular outpouching at the origin of an a. 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. The coexistence of kommerells diverticulum and an aberrant subclavian artery asca is a rare congenital variation of the vascular structure. Pdf first described in 1936, the diverticulum of kommerell dok is a dilatation of the proximal segment of an aberrant subclavian artery. Right sided aortic arch with kommerell diverticulum. Apr 27, 20 the coexistence of kommerells diverticulum and an aberrant subclavian artery asca is a rare congenital variation of the vascular structure.
Angiography demonstrates the rightsided aortic arch and aberrant left subclavian artery with a kommerells diverticulum at age 5 years a and the occluded subclavian. Surgical repair of kommerells diverticulum and an aberrant. The selection of treatment strategy for kommerells diverticulum should be based on the anatomy, comorbidities of the patient, and surgical expertise available. An additional esophagogram revealed a notching of the proximal esophagus from an extrinsic compression fig. A diverticulum of kommerell has been reported to be present in 20% to 60% of individuals. Aberrant right subclavian artery and kommerells diverticulum. Aberrant right subclavian artery arteria lusoria aneurysm with a. However planning the strategy of operation is difficult without a 3d imaging. Dysphagia lusoria caused by kommerell diverticulum revista.
A barium swallow esophagography before surgery shows significant compression of the esophagus by kommerells diverticulum arrow. 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. Because there is a tendency not to report mortalities of these rare cases in the literature. The summaries of open and endovascular repairs of over 210 cases from literature search from. Kommerells diverticulum and rightsided aortic arch. Any information contained in this pdf file is automatically generated from digital. 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. Right aortic arch, kommerells diverticulum and aberrant left subclavian artery. A rightsided aortic arch with kommerells diverticulum of. 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.
We present the case of a 54yearold man with thoracic pain due to dissection of. 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. 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. 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. Right aortic arch and kommerells diverticulum repaired. 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. Surgical treatment is recommended for symptomatic patients or asymptomatic patients with a large diverticulum.