Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/1677-5449.009118
Jornal Vascular Brasileiro
Case Report

Aberrant right subclavian artery (arteria lusoria) aneurysm with a Kommerell’s diverticulum

Aneurisma de artéria subclávia direita aberrante (artéria lusória) com divertículo de Kommerell

Elif Coşkun; Levent Altınay; Anıl Tekin; Ufuk Tütün

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Abstract

Abstract: The treatment options for aberrant right subclavian artery vary depending on the presence of Kommerell’s diverticulum. Because there is a tendency not to report mortalities of these rare cases in the literature, it is hard to reach a conclusion on treatments from the limited data on post-interventional results in these patients. We report our experience with a 67-year old patient with an aberrant right subclavian aneurysm with Kommerell’s diverticulum, diagnosed by chance.

Keywords

aberrant right subclavian artery, Kommerell’s diverticulum, vascular anomaly

Resumo

Resumo: As opções de tratamento para artéria subclávia direita aberrante variam dependendo da presença de divertículo de Kommerell. Como há uma tendência a não relatar mortalidade nos raros casos descritos na literatura, é difícil chegar a uma conclusão sobre tratamentos tendo em vista os dados limitados sobre resultados pós-intervenção nesses pacientes. Relatamos aqui nossa experiência com um paciente de 67 anos de idade com aneurisma de artéria subclávia aberrante direita com divertículo de Kommerell diagnosticado ao acaso.
 

Palavras-chave

artéria subclávia direita aberrante, divertículo de Kommerell, anomalia vascular

References

Vucemilo I, Harlock AJ, Qadura M, Guirgis M, Gowing NR, Tittley GJ. Hybrid repair of symptomatic aberrant right subclavian artery and Kommerell’s diverticulum. Ann Vasc Surg. 2014;28(2):411-20. http://dx.doi.org/10.1016/j.avsg.2013.04.016. PMid:24200134.

Tsukube T, Ataka K, Sakata M, Wakita N, Okita Y. Surgical treatment of an aneurysm in the right aortic arch with aberrant left subclavian artery. Ann Thorac Surg. 2001;71(5):1710-1. http://dx.doi.org/10.1016/S0003-4975(00)02698-9. PMid:11383841.

Holzapfel G. Ungewo¨hnlicher Ursprung und Verlauf der Arteria subclavia dextra. Anat Hefte. 1899;12(3):369-523. http://dx.doi.org/10.1007/BF02301038.

Godlewski J, Widawski T, Michalak M, Kmieć Z. Aneurysm of the aberrant right subclavian artery – a case report. Pol J Radiol. 2010;75(4):47-50. PMid:22802805.

Kommerell B. Verlagerung des o¨sophagus durch eine abnorm verlaufende arteria subclavia dextra (arteria lusoria). Fortschr Geb Roentgenstrahlen. 1936;54:590-5.

Backer CL, Russell HM, Wurlitzer KC, Rastatter JC, Rigsby CK. Primary resection of kommerell diverticulum and left subclavian artery transfer. Ann Thorac Surg. 2012;94(5):1612-7. http://dx.doi.org/10.1016/j.athoracsur.2012.05.101. PMid:22884596.

Tsukui H, Aomi S, Yamazaki K. Surgical strategy for kommerell’s diverticulum: total arch replacement. J Thorac Cardiovasc Surg. 2014;148(4):1423-7. http://dx.doi.org/10.1016/j.jtcvs.2013.11.026. PMid:24365271.

Idrees J, Keshavamurthy S, Subramanian S, Clair DG, Svensson LG, Roselli EE. Hybrid repair of kommerell diverticulum. J Thorac Cardiovasc Surg. 2014;147(3):973-6. http://dx.doi.org/10.1016/j.jtcvs.2013.02.063. PMid:23535153.

Tanaka A, Milner R, Ota T. Kommerell’s diverticulum in the current era: a comprehensive review. Gen Thorac Cardiovasc Surg. 2015;63(5):245-59. http://dx.doi.org/10.1007/s11748-015-0521-3. PMid:25636900.

Esposito RA, Khalil I, Galloway AC, Spencer FC. Surgical treatment for aneurysm of aberrant subclavian artery based on a case report and a review of the literature. J Thorac Cardiovasc Surg. 1988;95(5):888-91. PMid:3283462.

Kim KM, Cambria RP, Isselbacher EM, et al. Contemporary surgical approaches and outcomes in adults with kommerell diverticulum. Ann Thorac Surg. 2014;98(4):1347-54. http://dx.doi.org/10.1016/j.athoracsur.2014.05.045. PMid:25134861.

Tassiopoulos AK, Nadalin BA, Labropoulos N, Egofske P, Keen RR. Endovascular repair of a symptomatic subclavian artery aneurysm in a patient with Marfan syndrome: a case report. Vasc Endovascular Surg. 2006;40(5):409-13. http://dx.doi.org/10.1177/1538574406293764. PMid:17038575.

Gafoor S, Stelter W, Bertog S, Sievert H. Fully percutaneous treatment of anaberrant right subclavian artery and thoracic aortic aneurysm. Vasc Med. 2013;18(3):139-44. http://dx.doi.org/10.1177/1358863X13485985. PMid:23720037.

Schwein A, Georg Y, Ohana M, et al. Treatment of aneurysmal aberrant right subclavian artery with triple-barrelstent graft. Ann Vasc Surg. 2015;29(3):e1-595.e3. http://dx.doi.org/10.1016/j.avsg.2014.10.035.

Mazzaccaro D, Derosa TM, De Febis E, Righini P, Nano G. Total endovascular repair of aberrant right subclavian artery aneurysm using the periscope technique: a case report. Int J Surg Case Rep. 2016;29:126-9. http://dx.doi.org/10.1016/j.ijscr.2016.10.067. PMid:27842259.
 

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