Kommerell diverticulum

Kommerell diverticulum (KD) is a developmental anomaly of the aortic arch characterized by a diverticulum at the proximal descending aorta of left or right arch configuration that gives rise to an aberrant subclavian artery. KD is primarily asymptomatic but may become symptomatic secondary to dilatation of KD, atheroma and fibrotic changes in paratracheal or paraesophageal tissue, presenting with signs of tracheal compression (more common in children), esophageal compression (dysphagia lusoria; more common in patients with a right sided aortic arch), chest pain, or blood pressure difference in the upper limbs. KD may also predispose toward aortic dissection or rupture.

Dysphagia

Difficulty in swallowing.


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PMID (PMCID)
30128895
 FEMALE Adult
Crossed pulmonary arteries as additional cause of dysphagia in association with right aortic arch and Kommerell diverticulum.
El Batti S, Ben Abdallah I, Julia P, Alsac JM, Vouhe P.
Surg Radiol Anat. 2018;40(10):1165-1168.
We describe an uncommon association of crossed pulmonary arteries and a right aortic arch with a Kommerell diverticulum and a left ligamentum arteriosum, resulting in disabling dysphagia in a 33-year-old woman.
30128895
 FEMALE Adult
Crossed pulmonary arteries as additional cause of dysphagia in association with right aortic arch and Kommerell diverticulum.
El Batti S, Ben Abdallah I, Julia P, Alsac JM, Vouhe P.
Surg Radiol Anat. 2018;40(10):1165-1168.
Crossed pulmonary arteries as additional cause of dysphagia in association with right aortic arch and Kommerell diverticulum.
24493059
 MALE
Hybrid endovascular treatment of an aberrant right subclavian artery with Kommerell aneurysm.
Lamb KM, Moudgill N, Whisenhunt AK, Ayad M, Abai B, Salvatore D, DiMuzio PJ.
Vascular. 2014;22(6):458-63.
Herein, we describe a successful repair of a symptomatic (dysphagia, weight loss) aberrant right subclavian artery with Kommerell diverticulum using this hybrid open-endovascular approach.
24744100
 FEMALE Young Adult
Right Aortic Arch With Kommerell Diverticulum: A Rare Cause of Dysphagia.
Adams MT, Wilhelm M, Singh N, Andersen C.
JAMA Otolaryngol Head Neck Surg. 2014;140(6):560-2.
Kommerell diverticulum, a remnant of the left dorsal arch, is a rare cause of dysphagia.
24744100
 FEMALE Young Adult
Right Aortic Arch With Kommerell Diverticulum: A Rare Cause of Dysphagia.
Adams MT, Wilhelm M, Singh N, Andersen C.
JAMA Otolaryngol Head Neck Surg. 2014;140(6):560-2.
Right Aortic Arch With Kommerell Diverticulum: A Rare Cause of Dysphagia.
24744100
 FEMALE Young Adult
Right Aortic Arch With Kommerell Diverticulum: A Rare Cause of Dysphagia.
Adams MT, Wilhelm M, Singh N, Andersen C.
JAMA Otolaryngol Head Neck Surg. 2014;140(6):560-2.
We report a case of a young patient who presented with dysphagia caused by a right aortic arch, aberrant left subclavian artery, and associated Kommerell diverticulum, a remnant of the left dorsal arch.
20920737
 FEMALE
Three-dimensional magnetic resonance imaging of Kommerell diverticulum in a child with recurrent dysphagia.
Cannavale A, Francone M, Galea N, Roggini M, Carbone I.
J Pediatr Surg. 2010;45(10):2092-3.
Three-dimensional magnetic resonance imaging of Kommerell diverticulum in a child with recurrent dysphagia.
19116678
 FEMALE Adult
[Kommerell diverticula associated with dysphagia: a clinical case and review of the literature].
Ferreira R, Gallego J, Roque J, Pereira RA, Mendes M, Nobre A, Cravino J.
Rev Port Cir Cardiotorac Vasc. 2008;15(3):139-42.
[Kommerell diverticula associated with dysphagia: a clinical case and review of the literature].