Kommerell’s diverticulum and aneurysmal right-sided aortic arch: A case report and review of the literature Claudio S. Cinà, MD, FRCSC, Goffredo O. Arena,

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Presentation transcript:

Kommerell’s diverticulum and aneurysmal right-sided aortic arch: A case report and review of the literature Claudio S. Cinà, MD, FRCSC, Goffredo O. Arena, MD, Gerard Bruin, MD, FRCPC, Catherine M. Clase, MSc, FRCPC Journal of Vascular Surgery Volume 32, Issue 6, Pages 1208-1214 (December 2000) DOI: 10.1067/mva.2000.108012 Copyright © 2000 Society for Vascular Surgery and The American Association for Vascular Surgery, a Chapter of the International Society for Cardiovascular Surgery Terms and Conditions

Fig. 1 Chest radiograph. Large circumscribed mass projects on right and left hemithorax (A) and in posterior-superior mediastinum, with compression of trachea (B). Journal of Vascular Surgery 2000 32, 1208-1214DOI: (10.1067/mva.2000.108012) Copyright © 2000 Society for Vascular Surgery and The American Association for Vascular Surgery, a Chapter of the International Society for Cardiovascular Surgery Terms and Conditions

Fig. 2 Computerized axial tomography shows large aneurysm in posterior mediastinum (A) with compression of right main stem bronchus (B) and aneurysm of descending thoracic aorta 4 × 6 cm in diameter (C). Journal of Vascular Surgery 2000 32, 1208-1214DOI: (10.1067/mva.2000.108012) Copyright © 2000 Society for Vascular Surgery and The American Association for Vascular Surgery, a Chapter of the International Society for Cardiovascular Surgery Terms and Conditions

Fig. 3 Angiography shows aneurysm of distal arch and origin of main aortic arch vessels. A and B, Anteroposterior projections of aortic arch at different times of contrast injection. C, Left anterior oblique projection. 1, Right common carotid artery; 2, left common carotid artery; 3, right vertebral artery; 4, left subclavian artery; 5, right subclavian artery. Journal of Vascular Surgery 2000 32, 1208-1214DOI: (10.1067/mva.2000.108012) Copyright © 2000 Society for Vascular Surgery and The American Association for Vascular Surgery, a Chapter of the International Society for Cardiovascular Surgery Terms and Conditions

Fig. 4 Drawing shows arch anomaly with aneurysm of aberrant left subclavian artery and aneurysm of descending thoracic aorta (A) and reconstruction after surgery (B). Journal of Vascular Surgery 2000 32, 1208-1214DOI: (10.1067/mva.2000.108012) Copyright © 2000 Society for Vascular Surgery and The American Association for Vascular Surgery, a Chapter of the International Society for Cardiovascular Surgery Terms and Conditions

Fig. 5 Follow-up angiogram at 6 months. 1, Left subclavian artery; 2, left carotid artery; 3, right carotid artery; 4, right subclavian artery. Journal of Vascular Surgery 2000 32, 1208-1214DOI: (10.1067/mva.2000.108012) Copyright © 2000 Society for Vascular Surgery and The American Association for Vascular Surgery, a Chapter of the International Society for Cardiovascular Surgery Terms and Conditions

Fig. 6 Schematic drawing shows circulation in 4-week human embryo. 1-6, Primitive aortic arches; RVA, right ventral aorta; LVA, left ventral aorta; RDA, right dorsal aorta; LDA, left dorsal aorta; V, ventricle; A, atrium. Journal of Vascular Surgery 2000 32, 1208-1214DOI: (10.1067/mva.2000.108012) Copyright © 2000 Society for Vascular Surgery and The American Association for Vascular Surgery, a Chapter of the International Society for Cardiovascular Surgery Terms and Conditions

Fig. 7 Development of left-sided aortic arch (A). Development of right-sided aortic arch with aberrant left subclavian artery (B). 1-6, Primitive aortic arches; RS, right subclavian artery; LS, left subclavian artery; EC, external carotid artery; IC, internal carotid artery; C, common carotid artery. Journal of Vascular Surgery 2000 32, 1208-1214DOI: (10.1067/mva.2000.108012) Copyright © 2000 Society for Vascular Surgery and The American Association for Vascular Surgery, a Chapter of the International Society for Cardiovascular Surgery Terms and Conditions