Abstract
Kommerell diverticulum (KD) is an enlargement that occurs in proximal segment of aberrant right subclavian artey originating from descendent aorta. This dilatation consists in focal segment, therefore called as KD. Aberrant right subclavian artery has a normal diameter on later trace. Although left aberrant subclavian artery origins may show similar enlargement. This enlargement appears in origin of left aberrant subclavian artery from right sided aortic arcus and called aortic diverticulum. Aneurysm, trombosis in this dilated segment and dissection development with true and false lumens of aberrant subclavian artery after KD is very rare. This report presents coexistence of thrombosis and dissection with subclavian artery aneurism maintained from KD.
Keywords
References
- Higgins CB. Cardiovascular imaging. In: Pettersson H, ed. The encyclopaedia of medical imaging. 1st ed. Oslo: The nicer institute, 2000; 259.
- Dahnert W. Differentiai diagnosis of cardiovascular disor ders. In: Dahnert W, ed. Radiology review manual. 5th ed. Philadelphia: Lippincott Williams&Wilkins, 2003; 579. 3. van Son JAM, Konstantinov IE. Burckhard F. Kom merell and Kommerell’s diverticulum. Tex Heart Inst J 2002;29(1):109-112.
- Yang MH, Weng ZC, Weng YG, Chang HH. A right-sided aortic arch with Kommerell’s diverticulum of the aberrant left subclavian artery presenting with syncope. J Chin Med Assoc 2009;72(2):275-7.
- Hassan W, al Omrani A, Neimatallah M, al Fadley F, al Ha lees Z. Dysphagia lusoria caused by aberrant right subcla vian artery, Kommerell’s diverticulum, legamentum ring, right desending aorta, and absent left pulmonary artery: a report of a unique vascular congenital disease undetected until adulthood and a review of the literature. Pediatr Car diol 2005;26(7):851-5.
- Barranhas AD, Indiani JMC, Marchiori E, dos Santos AASMD, Rochitte CE, Nacif MS. Atypical presenta tion of Kommerell’s diverticulum. Arq Bras Cardiol 2009;93(1):88-90.
Abstract
Kommerell divertikülü (KD), aberan sağ subklavian arterin proksimal bölümünün desendan aortadan çıkışı düzeyinde gözlenen genişlemesidir. Bu genişleme fokal bir segmentten ibaret olup, KD ismini almaktadır. Aberan sağ subklavian arterin bu segment sonrasında çapının normale dönmesi beklenir. Ayrıca sol subklavian arter çıkımında benzer görünüm saptanabilir. Bu genişleme sağdaki aort arkından çıkan sol aberan subklavian arter kökünde görülebilir ve aort divertikülü olarak adlandırılmaktadır. Aberan subklavian arterin KD ile devamlılık gösteren anevrizmatik segmentinde tromboz ve disseksiyon gelişimi sonucu oluşan gerçek ve yalancı lümenlerin gözlenmesi oldukça enderdir. Sunulan olguda desendan aortadan köken alan sağ aberan subklavian arterin KD sonrası trasesinde görülen anevrizmanın, tromboz ve disseksiyonla birlikteliği incelenmiştir.
References
- Higgins CB. Cardiovascular imaging. In: Pettersson H, ed. The encyclopaedia of medical imaging. 1st ed. Oslo: The nicer institute, 2000; 259.
- Dahnert W. Differentiai diagnosis of cardiovascular disor ders. In: Dahnert W, ed. Radiology review manual. 5th ed. Philadelphia: Lippincott Williams&Wilkins, 2003; 579. 3. van Son JAM, Konstantinov IE. Burckhard F. Kom merell and Kommerell’s diverticulum. Tex Heart Inst J 2002;29(1):109-112.
- Yang MH, Weng ZC, Weng YG, Chang HH. A right-sided aortic arch with Kommerell’s diverticulum of the aberrant left subclavian artery presenting with syncope. J Chin Med Assoc 2009;72(2):275-7.
- Hassan W, al Omrani A, Neimatallah M, al Fadley F, al Ha lees Z. Dysphagia lusoria caused by aberrant right subcla vian artery, Kommerell’s diverticulum, legamentum ring, right desending aorta, and absent left pulmonary artery: a report of a unique vascular congenital disease undetected until adulthood and a review of the literature. Pediatr Car diol 2005;26(7):851-5.
- Barranhas AD, Indiani JMC, Marchiori E, dos Santos AASMD, Rochitte CE, Nacif MS. Atypical presenta tion of Kommerell’s diverticulum. Arq Bras Cardiol 2009;93(1):88-90.
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Case Report |
| Authors | |
| Publication Date | September 1, 2011 |
| Published in Issue | Year 2011 Volume: 2 Issue: 3 |