Right aortic arch, Kommerell’s diverticulum and aberrant left subclavian artery
Keywords:
Arteria subclavia izquierda aberrante. Divertículo de Kommerell. Arco aórtico derecho.Abstract
The right aberrant subclavian artery or “arteria lusoria” is the most common anatomical variant of the embryonic development of the aorta and its branches, with a presence in 0.5-2% of the population. Less frequently, a right aortic arch with aberrant left subclavian artery may be present. These anatomical variations should be included in the differential diagnosis of superior mediastinal widening seen on chest radiographs. In this report, we present a right aortic arch with left aberrant subclavian artery dilated at its origin (Kommerell’s diverticulum) as a cause of superior mediastinal widening detected incidentally on a chest radiograph.Downloads
References
1. SADLER TW. Langman. Embriología médica con orientación clínica. 8ª ed. España: Madrid 2002.
2. TURKVATAN A, BUYUKBAYRAKTAR FG, OLCER T, CUMHUR T. Congenital anomalies of the aortic arch: evaluation with the use of multidetector computed tomography. Korean J Radiol 2009; 10: 176-184.
https://doi.org/10.3348/kjr.2009.10.2.176
3. FREED K, LOW VH. The aberrant subclavian artery. Am J Roentgenol 1997; 168: 481-484.
https://doi.org/10.2214/ajr.168.2.9016231
4. KLEINMAN PK, SPEVAK MR, NIMKIN K. Left-sided esophageal indentation in right aortic arch with aberrant left subclavian artery. Radiology 1994; 191: 565-567.
https://doi.org/10.1148/radiology.191.2.8153342
5. SHUFORD WH, SYBERS RG, EDWARDS FK. The three types of right aortic arch. Am J Roentgenol Radium Ther Nucl Med 1970; 109: 67-74.
https://doi.org/10.2214/ajr.109.1.67
6. LUETMER PH, MILLER GM. Right aortic arch with isolation of the left subclavian artery: case report and review of the literature. Mayo Clin Proc 1990; 65: 407-413.
https://doi.org/10.1016/S0025-6196(12)62540-3
7. RAMASWAMY P, LYTRIVI ID, THANJAN MT, NGUGEN T, SRIVASTAVA S, SHARMA S et al. Frequency of aberrant subclavian artery, arch laterality, and associated intracardiac anomalies detected by echocardiography. Am J Cardiol 2008; 101: 677-682.
https://doi.org/10.1016/j.amjcard.2007.10.036
8. FELSON B, COHEN S, COURTER S, MCGUIRE J. Anomalous right subclavian artery. Radiology 1950; 54: 340-349.
https://doi.org/10.1148/54.3.340
9. PATINIOTIS TC, MOHAJERI M, HILL DG. Right aortic arch with aberrant left subclavian artery: aneurysmal dilatation causing symptomatic compression of the right main bronchus in an adult. Aust N Z J Surg 1995; 65: 690-692.
https://doi.org/10.1111/j.1445-2197.1995.tb00683.x
10. REECE TB, WALLEN TJ, JAGASIA DH, BAVARIA JE, SZETO WY. Open thoracic aortic repair for dysphagia in patients with Kommerell's diverticulum and right-sided aortic arch with aberrant left subclavian artery. J Card Surg 2010; 25: 62-64.
https://doi.org/10.1111/j.1540-8191.2009.00936.x
11. MYERS PO, FASEL JH, KALANGOS A, GAILLOUD P. Arteria lusoria: Developmental anatomy, clinical, radiological and surgical aspects. Ann Cardiol Angeiol 2010; 59: 147-154.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2011 Anales del Sistema Sanitario de Navarra

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
La revista Anales del Sistema Sanitario de Navarra es publicada por el Departamento de Salud del Gobierno de Navarra (España), quien conserva los derechos patrimoniales (copyright ) sobre el artículo publicado y favorece y permite la difusión del mismo bajo licencia Creative Commons Reconocimiento-CompartirIgual 4.0 Internacional (CC BY-SA 4.0). Esta licencia permite copiar, usar, difundir, transmitir y exponer públicamente el artículo, siempre que siempre que se cite la autoría y la publicación inicial en Anales del Sistema Sanitario de Navarra, y se distinga la existencia de esta licencia de uso.


