Aneurysm of an Aberrant Right Subclavian Artery (Kommerell)- A Rare Phenomenon
Abstract
The aberrant right subclavian artery (ARSA) is a rare congenital variant of the aortic arch. When there is present of this aberrant anatomy, the brachiocephalic trunk is usually absent and the right subclavian artery arises as the fourth large arteries from the arch of the aorta. When the ARSA arises from a diverticulum of the distal aortic arch or descending aorta, it is termed as Kommerell aneurysm . Herein, we present a 51 years old man presented with neck pain due to cervical spondylosis. Pre-operative chest x-ray revealed a widened mediastinum. Further computed tomography (CT) of the thorax revealed Kommerell aneurysm of 2.5cm in diameter which does not resulted in any symptoms. We discussed the clinical implications and management of this rare entity in the report.
References
References
Nicholas T.Kouchoukos,MD, and Paolo Masetti, MD.Aberrant subclavian artey and kommerell aneurysm:surgical treatment with a standard approach.The Journal Of Thoracic and Cardiovascularsurgery april 2007.
Michał Polguj,1 Łukasz Chrzanowski,2 Jarosław D. Kasprzak,2 Ludomir Stefańczyk,3 Mirosław Topol,4 and Agata Majos. The Aberrant Right Subclavian Artery (Arteria Lusoria): The Morphological and Clinical Aspects of One of the Most Important Variations—A Systematic Study of 141 Reports.The Scientific World Journal Volume 2014 (2014).
Surgical and Endovascular Treatment of Symptomatic Aberrant Right Subclavian Artery (Arteria Lusoria) Reinhard Kopp*, Ingrid Wizgall*, Eckart Kreuzer, Georgios Meimarakis*, Rolf Weidenhagen*, Andreas Ku¨hnl*,Claudius Conrad*, Karl Walter Jauch*, and Lutz Lauterjung* Vascular, Vol. 15, No. 2, pp. 84–91, 2007. Printed in USA, The International Society for Vascular Surgery.
Janusz Godlewski, Tomasz Widawski, Maciej Michalak, and Zbigniew Kmieć. Aneurysm of the aberrant right subclavian artery – a case report. Polish Journal of Radiology October-December 2010.
Turkenburg JL, Versteegh MI, Shaw PC. Case report: aneurysm of an aberrant right subclavian artery diagnosed with MR imaging. Clin Radiol. 1994;49:837–39.
Welch TJ, McKusick MA. Aneurysm of aberrant right subclavian artery arising from diverticulum of Kommerell. AJR. 1993:1314–17.
Claudio S. Cina, Goffredo O. Arena, Gerard Bruin, Catherine M Clase. Kommerell’s diverticulum and aneurismal right-sided aortic arch: A case report and review of the literature. Journal of Vascular Surgery 2000;Volume 32, Issue 6, Pages 1208-1214.