Vnitr Lek 2023, 69(7):433-436 | DOI: 10.36290/vnl.2023.086

Kommerell's diverticulum - rare developmental abnormality of aortic arch

Johana Horáková
II. interní klinika kardiologie a angiologie 1. LF UK a Všeobecné fakultní nemocnice v Praze

Kommerell's diverticulum is an aneurysmal dilatation of the descending thoracic aorta at the site of the origin of subclavian artery. It is a remnant of the 4th dorsal aortic arch and tends to be associated with other developmental abnormalities. Dysphagia and dyspnea are main clinical symptoms, but the diverticulum is usually diagnosed incidentally when CT angiography is performed for another indication. The treatment is either endovascular or surgical depending on the anatomical conditions and comorbidities of the patient. We present a case report of a 62-year-old female patient with a right-sided aortic arch and Kommerell's diverticulum indicated for endovascular repair.

Keywords: aortic arch anomaly, endovascular aortic repair, Kommerell's diverticulum.

Accepted: October 19, 2023; Published: October 26, 2023  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Horáková J. Kommerell's diverticulum - rare developmental abnormality of aortic arch. Vnitr Lek. 2023;69(7):433-436. doi: 10.36290/vnl.2023.086.
Download citation

References

  1. Tanaka A, Milner R, Ota T. Kommerell's diverticulum in the current era: a comprehensive review. Gen Thorac Cardiovasc Surg. 2015 May;63(5):245-59. doi: 10.1007/s11748-015-0521-3. Epub 2015 Jan 31. PMID: 25636900. Go to original source... Go to PubMed...
  2. Bhatt TC, Muralidharan CG, Singh G, Jain NK. Kommerell's diverticulum: A rare aortic arch anomaly. Med J) Armed Forces India. 2016 Dec;72(Suppl 1):S80-S83. doi: 10.1016/j.mjafi.2016. 09. 003. Epub 2016 Oct 27. PMID: 28050078; PMCID: PMC5192231. Go to original source...
  3. Nishant S, Joseph D, Sameh S, Benish F, et al, Vascular Rings in Adults: Outcome of Surgical Management, The Annals of Thoracic Surgery, Volume 108, Issue 4, 2019, Pages 1217-1227, ISSN 0003-4975, https://doi.org/10.1016/j.athoracsur.2019. 04. 097. Go to original source...
  4. Saran N, Dearani J, Said S, et al. Vascular Rings in Adults: Outcome of Surgical Management. Ann Thorac Surg. 2019 Oct;108(4):1217-1227. doi: 10.1016/j.athoracsur.2019. 04. 097. Epub 2019 Jun 20. PMID: 31229482. Go to original source...
  5. Zavatta M, Squizzato F, Dall'Antonia A, Piazza M, Antonello M. et al. Chimney/Periscope Technique as Total Endovascular Treatment of Kommerell's Diverticulum. Aorta (Stamford). 2021 Aug;9(4):158-160. doi: 10.1055/s-0041-1729850. Epub 2021 Oct 29. PMID: 34715698; PMCID: PMC8642075. Go to original source... Go to PubMed...




Vnitřní lékařství

Madam, Sir,
please be aware that the website on which you intend to enter, not the general public because it contains technical information about medicines, including advertisements relating to medicinal products. This information and communication professionals are solely under §2 of the Act n.40/1995 Coll. Is active persons authorized to prescribe or supply (hereinafter expert).
Take note that if you are not an expert, you run the risk of danger to their health or the health of other persons, if you the obtained information improperly understood or interpreted, and especially advertising which may be part of this site, or whether you used it for self-diagnosis or medical treatment, whether in relation to each other in person or in relation to others.

I declare:

  1. that I have met the above instruction
  2. I'm an expert within the meaning of the Act n.40/1995 Coll. the regulation of advertising, as amended, and I am aware of the risks that would be a person other than the expert input to these sites exhibited


No

Yes

If your statement is not true, please be aware
that brings the risk of danger to their health or the health of others.