Right aortic arch with aberrant left innominate artery arising from Kommerell's diverticulum

Faistauer, Ângela; Torres, Felipe Soares; Faccin, Carlo Sasso

doi:10.1590/0100-3984.2013.1934

Cited by 7 publications

(6 citation statements)

References 9 publications

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“…This results in complete encircling of trachea and esophagus (49,50). If the diverticulum is aneurysmal, it may itself cause compression of esophagus or else it may rupture spontaneously (51). Thus, it is pertinent to report the presence or absence of retroesophageal diverticulum as it may have prognostic implications.…”

Section: Raa With Aberrant Subclavian Artery Arising From Diverticulumentioning

confidence: 99%

Congenital anomalies of the aortic arch

Priya

Thomas

Nagpal

et al. 2018

Cardiovasc. Diagn. Ther.

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Congenital anomalies of the aortic arch include diverse subgroups of malformations that may be clinically silent or may present with severe respiratory or esophageal symptoms especially when associated with complete vascular rings. These anomalies may be isolated or may be associated with other congenital heart diseases. Volume rendered computed tomography (CT) and magnetic resonance angiography (MRA) help in preoperative surgical planning by providing information about the complex relationship of aortic arch and its branches to the trachea and esophagus. Three dimensional capabilities of both computed tomography angiography (CTA) and MRA are helpful in determining evidence of tracheal or esophageal compression or other high-risk features in patients with a complete vascular ring.

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Section: Raa With Aberrant Subclavian Artery Arising From Diverticulumentioning

confidence: 99%

Congenital anomalies of the aortic arch

Priya

Thomas

Nagpal

et al. 2018

Cardiovasc. Diagn. Ther.

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“…However, more symptoms are due to atherosclerotic changes of the anomalous vessels, dissection, aneurysm with compression of adjacent structures causing dysphagia (dysphagia lusoria), dyspnea. As our patient has no symptoms related to the vascular variations, surgery was not indicated [4,9].…”

Section: Edward's Classification [7]mentioning

confidence: 90%

“…The mean size associated with rupture is 5.8cm. Investigations include barium swallow esophagogram, CT scan with contrast, cardiac MRI which demonstrates both diverticulum and its effects on trachea and esophagus [1,9]…”

Section: Edward's Classification [7]mentioning

confidence: 99%

A Case of Right Sided Aortic Arch with Kommerell Diverticulum

Vp¹

2018

MJCCS

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Introduction:Kommerell diverticulum, a rare embryological variant, is an aneurysm of aortic arch at the origin of an aberrant subclavian artery. It is usually asymptomatic and detected incidentally on imaging studies or postmortem.Common symptoms include dysphagia and chest pain. The most common complications include rupture due to an enlarged diverticulum. Case Report:We present a male patient evaluated for chronic chest pain following traumatic blunt injury, who was incidentally found to have right sided aortic arch with kommerell diverticulum. Conclusion:Basic investigations like chest X-ray helps in clinching the diagnosis. Vascular anomalies like kommerell diverticulum should be considered as differential diagnosis in the evaluation of chronic cough, dysphagia, dyspnea.

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“…Imaging studies of the cardiovascular system have been the subject of recent publications in the radiology literature of Brazil ( 11 - 16 ) . Some studies have proposed that dedicated cardiac CT for the detection/quantification of coronary calcium is not necessary in patients for whom CT of the chest is negative ( 17 ) .…”

Section: Discussionmentioning

confidence: 99%

Detection of coronary artery calcification with nontriggered computed tomography of the chest

et al. 2018

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Objective To evaluate the accuracy of visual analysis and of the coronary artery calcium (CAC) score in nontriggered computed tomography (CT), in comparison with that of the CAC score in electrocardiogram-triggered CT, in identifying coronary calcification.Materials and Methods A total of 174 patients for whom CT was indicated for CAC scoring underwent nontriggered and triggered CT in a 64-channel multislice scanner, in a single session without a change in position. The images were interpreted by a radiologist with seven years of experience in thoracic and cardiovascular radiology. The measurement of coronary calcium was carried out by three methods: CAC score with dedicated software in nontriggered CT, CAC score with dedicated software in triggered CT, and visual analysis without dedicated software in nontriggered CT.Results In nontriggered CT, the CAC score presented an accuracy of 95.98% (95% CI: 91.93-98.04). The visual analysis showed an accuracy of 97.13% (95% CI: 93.45-98.77).Conclusion Nontriggered CT showed excellent accuracy in the identification and exclusion of coronary calcification, either the CAC score was determined with dedicated software or through visual analysis.

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Right aortic arch with aberrant left innominate artery arising from Kommerell's diverticulum

Abstract: We report a case of an uncommon thoracic aorta anomaly-right aortic arch with aberrant left innominate artery arising from Kommerell's diverticulum-that went undiagnosed until adulthood.

Cited by 7 publications

References 9 publications

Congenital anomalies of the aortic arch

Congenital anomalies of the aortic arch

A Case of Right Sided Aortic Arch with Kommerell Diverticulum

Detection of coronary artery calcification with nontriggered computed tomography of the chest

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