Kommerell diverticulum associated with aberrant left subclavian artery and right-sided aortic arch

Demırkol, Sait; Balta, Şevket; Bozlar, Uğur; Sari, Sabahattin; Ünlü, Murat; Arslan, Zekeriya

doi:10.1093/ehjci/jet020

Cited by 5 publications

(6 citation statements)

References 6 publications

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“…The right aortic arch is the passable vessel. The first vessel that arises from the aortic arch is the left carotid artery, followed by the right carotid artery, right subclavian artery, and, finally, the left subclavian artery (Weinberg, ; Kanne and Godwin, ; Kellenberger, ; Demirkol et al, ). This could seem indistinguishable from an asymptomatic “normal” anatomical variation—an aberrant left subclavian artery in a right aortic arch—which is present in 0.1% of the general population and in 14% of patients with a right aortic arch, and causes no symptoms associated with a vascular ring (Yoo et al, 2010; Whitehead and Weinberg, ; Park, ; Ezon and Penny, ).…”

Section: Discussionmentioning

confidence: 99%

Double aortic arch anomalies in Children: A Systematic 20‐Year Single Center Study

et al. 2017

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Aortic arch anomalies underlie numerous congenital disorders. Effectively diagnosing and treating them requires close understanding of cardiovascular embryology. As our Center serves the entire pediatric population of our country, we performed a comprehensive retrospective analysis of all aortic arch anomalies diagnosed at our Center over the past 20 years. We analyzed 40 children with aortic arch anomalies, distinguishing two defect types: Group 1 displayed ring-forming anomalies, and Group 2 other types of aortic arch anomalies that did not form a vascular ring. We performed detailed morphological analyses using echocardiography, angiography, computed tomography, or magnetic resonance imaging and generated a catalog of all aortic arch anomalies present. Group 1 was represented by 25 patients; 40% with persistent both aortic arches, and 60% with various forms of right aortic arch and an incomplete left aortic arch. Group 2 was represented by 15 patients with complex heart defects. On the basis of our dataset, the incidence of all aortic arch anomalies was 0.033%, and of ring-forming pathologies 0.021%. Although aortic arch anomalies are rare, it is important to diagnose them correctly. It is critical to distinguish ring-forming types. Although in complex defects the aortic arch anomaly represents only an additive diagnosis, its correct definition could be crucial for further management. Cumulatively, this unique, long-term study provides a systematic patient registry and offers critical epidemiological data to aid the study of rare congenital cardiovascular defects. Clin. Anat. 30:929-939, 2017. © 2017 Wiley Periodicals, Inc.

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Section: Discussionmentioning

confidence: 99%

Double aortic arch anomalies in Children: A Systematic 20‐Year Single Center Study

et al. 2017

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“…O divertículo de Kommerell é uma anomalia congênita rara usualmente associada ao arco aórtico à direita, artéria subclávia esquerda aberrante, e em geral diagnosticado de maneira incidental em pacientes assintomáticos. Nesse caso, como a paciente apresentava-se com queixa de palpitações, sintoma não relacionado a esses achados, alguns aspectos levantaram a suspeita do diagnóstico de origem anômala da ASCE como a ausência de bifurcação do tronco braquiocefálico e a observação de um vaso arterial ascendente emergindo da artéria torácica descendente [1][2][3][4][5][6] . No caso relatado, uma vez que não foram evidenciados sinais de compressão traqueal ou esofágica à angioRNM de aorta ou cardiopatias congênitas ao ecocardiograma transtorácico, muito provavelmente os sintomas referidos pela paciente não se correlacionaram com os achados radiológicos.…”

Section: Discussionunclassified

“…O arco aórtico à direita é uma anomalia rara, com incidência de 0,05% a 0,10% relatada em séries de casos. Pode ser anomalia isolada ou associada a cardiopatias congênitas e sintomas de compressão traqueoesofágica [1][2][3] . Nesses casos, os métodos de imagem não invasivos são utilizados na identificação e diagnóstico dessas lesões, definição anatômica e investigação de possíveis cardiopatias associadas [4][5][6] .…”

Section: Introductionunclassified

Kommerell Diverticulum, Right Aortic Arch and Anomalous Left Subclavian Artery: A Case Report

Hotta¹,

Albuquerque²,

Moisés³

2014

Arquivos Brasileiros De Cardiologia - Imagem Cardiovascular

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“…In approximately 5% of individuals, ARSA is associated with an aberrant umbilical vein, tricuspid atresia, or tetralogy of Fallot [ 1 ]. Rarely, ARSA can accompany Kommerell's diverticulum, an aneurysm of the descending aorta at the origin of the ARSA [ 2 ]. This can present clinically as dysphagia, dyspnea, or subclavian steal syndrome, often requiring surgical intervention [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

“…Rarely, ARSA can accompany Kommerell's diverticulum, an aneurysm of the descending aorta at the origin of the ARSA [ 2 ]. This can present clinically as dysphagia, dyspnea, or subclavian steal syndrome, often requiring surgical intervention [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Arteria Lusoria: An Anomalous Finding during Right Transradial Coronary Intervention

Allen

Bews

et al. 2016

Case Reports in Cardiology

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Arteria Lusoria or aberrant right subclavian artery (ARSA) is present in 0.6–1.4% of individuals. It typically remains clinically silent and is often discovered during angiographic procedures. The presence of ARSA can make a right transradial approach for coronary angiography and angioplasty technically more difficult. With the use of catheter support, we describe two cases in which a right transradial approach for catheterization was successful in the setting of ARSA. As such, the presence of ARSA does not warrant abandoning a transradial approach for coronary angiography and angioplasty.

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Kommerell diverticulum associated with aberrant left subclavian artery and right-sided aortic arch

Cited by 5 publications

References 6 publications

Double aortic arch anomalies in Children: A Systematic 20‐Year Single Center Study

Double aortic arch anomalies in Children: A Systematic 20‐Year Single Center Study

Kommerell Diverticulum, Right Aortic Arch and Anomalous Left Subclavian Artery: A Case Report

Arteria Lusoria: An Anomalous Finding during Right Transradial Coronary Intervention

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