Complete Correction of Kommerel's Diverticulum with a Modified Technique Under the Shadow of Covid-19 Pneumonia

Year 2022, , 81 - 84, 29.04.2022

Serkan Yazman , Buğra Harmandar , Burak Can Depboylu , Yasemin Çoban

https://doi.org/10.47572/muskutd.1060259

Abstract

Kommerell's Diverticulum is a rare aortic congenital anomaly, as the focal enlargement of the proximal part of the aberrant right subclavian artery at the level of its exit from the descending aorta. It is an embryological remnant of the posterior left fourth aortic arch. Kommerell`s diverticulum may cause symptoms of tracheal or esophageal compression, which they may arise at the moment of the birth, during the lactation or in the adulthood (dysphagia lusoria). Herein a 5-years-old patient who admitted to hospital with the complaint of dysphagia lusoria, diagnosed as vascular ring with Kommerell`s Diverticulum and operated successfully has been reported in the light of literature.

Keywords

Covid-19, Kommerell, Vascular Ring

Kommerel Divertikülünün Modifiye Teknik ile Düzeltilmesi: Covid-19 Pnömonisinin Gölgesinde Kommerel Divertikülünün Düzeltilmesi

Abstract

Kommerell Divertikülü, aberran sağ subklavyen arterin proksimal kısmının inen aorta da çıkış seviyesinde fokal genişlemesi olarak görülen, aortun nadir bir konjenital anomalisidir. Posterior sol dördüncü aortik arkın embriyolojik bir kalıntısıdır. Kommerell divertikülü doğum anında, emzirme döneminde veya yetişkinlik döneminde ortaya çıkabilen trakea veya özofagus kompresyonuna bağlı semptomlara neden olabilir. Burada disfajilusoria şikayeti ile hastaneye başvuran, Kommerell Divertikülü ile vasküler halka tanısı konulan ve başarılı bir şekilde ameliyat edilen 5 yaşında bir hasta literatür eşliğinde bildirilmiştir.

Keywords

Covid-19, Kommerel Divertikülü, Vasküler Ring

References

• 1. Cina CS, Althani H, PasenauJ, et al. Kommerell’s diverticulum and right-sided aortic arch: a cohort study and review of the literature. J Vasc Surg. 2004;39:131–9.
• 2. Van Son JA, Konstantinov IE, Burckhard F. Kommerell and Kommerell's diverticulum. Tex Heart Inst J. 2002;29(2):109-12.
• 3. Naimo PS FT, Donald JS, Sawan E, et al. Long-term outcomes of complete vascular ring division in children: a 36-year experience from a single institution. Interact Cardiovasc Thorac Surg. 2017;24:234–9.
• 4. Backer CL, Russell HM, Wurlitzer KC, et al. Primary resection of Kommerell diverticulum and left subclavian artery transfer. Ann Thorac Surg. 2012;94:1612-7.
• 5. Ahmadi A, Sonbolestan SA. A rare anomalous origin of left subclavian artery from the circle of Willis in combination with right sided aortic arch: A case report. ARYA Atheroscler. 2013;9(5):303–5.
• 6. Buğra H, Numan A.A, Ali R.K, et al. Surgical treatment of double aortic arch. Turk Gogus Kalp Damar. 2014;22(4):709-16.
• 7. Licari A, Manca E, Rispoli GA, et al. Congenital vascular rings: a clinical challenge for the pediatrician. Pediatr Pulmonol. 2015;50:511-24.
• 8. Smith BM, Lu JC, Dorfman AL, et al. Rings and slings revisited. Magn Reson Imaging Clin N Am. 2015;23:127-35.
• 9. Backer CL, Mavroudis C, Rigsby CK, et al. Trends in vascular ring surgery. J Thorac Cardiovasc Surg. 2005;129:1339–47.
• 10. Ding N, Guo J, Li X, et al. Kommerell diverticulum, vascular ring, and aberrant left subclavian artery: LSCA translocation or aortopexy. J Pediatr Surg. 2021;56(10):1757-63.
• 11. Luciano D, Mitchell J, Fraisse A, et al. Kommerell diverticulum should be removed in children with vascular ring and aberrant left subclavian artery. Ann Thorac Surg. 2015;100(6):2293-7.