Top

General Thoracic and Cardiovascular Surgery

Published in:

01-05-2015 | Current Topics Review Article

Kommerell’s diverticulum in the current era: a comprehensive review

Authors: Akiko Tanaka, Ross Milner, Takeyoshi Ota

Published in: General Thoracic and Cardiovascular Surgery | Issue 5/2015

Abstract

Kommerell’s diverticulum is a developmental error with a remnant of fourth dorsal aortic arch, named after Dr. Kommerell, a radiologist, who made the first diagnosis in a living individual. The diverticulum can occur in both the left and right aortic arch, from which an aberrant subclavian artery rises to the contralateral side. Pediatric patients often present with airway symptoms whereas dysphagia and chest discomfort are more common in the adult patients. Computed tomography or magnetic resonance imaging can provide details of the diverticulum, associated arch anomalies, and its relationship with surrounding organs. Recent histological studies indicated the presence of cystic medial necrosis in the diverticulum wall, which would explain the reported high rates of aortic dissection and rupture associated with the diverticulum. Accumulated knowledge on this entity and the recent advancement of imaging techniques, surgical/endovascular strategies, and perioperative management, have led to more aggressive intervention to the diverticulum in the early phase. While still under debate it is generally accepted to consider surgical intervention when the diameter of the diverticulum orifice exceeds over 30 mm, and/or the diameter of the descending aorta adjacent to the diverticulum exceeds over 50 mm. Treatment options include open surgical repair, hybrid endovascular repair, and total endovascular repair. The selection of treatment strategy for Kommerell’s diverticulum should be based on the anatomy, comorbidities of the patient, and surgical expertise available. The summaries of open and endovascular repairs of over 210 cases from literature search from 2004 to 2014 are also provided in this review.

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

Bayford D. An account of a singular case of obstructed deglutition. Medical Society of London; 1787.

Asherson N. David bayford. His syndrome and sign of dysphagia lusoria. Ann R Coll Surg Engl. 1979;61(1):63–7.PubMedCentralPubMed

Arkin A. Totale persistenz des rechten aortenbogens im röntgenbild. Wien Arch f inn med. 1926;12:385.

Molz G, Burri B. Aberrant subclavian artery (arteria lusoria): Sex differences in the prevalence of various forms of the malformation. Evaluation of 1378 observations. Virchows Arch A Pathol Anat Histol. 1978;380(4):303–15.PubMed

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.PubMed

Edwards JE. Anomalies of the derivatives of the aortic arch system. Med Clin North Am. 1948;32:925–49.PubMed

Lescalie F, Peret M, Reigner B, Cronier P, Pillet J. Reconstruction of an abnormal artery observed in an 11 mm embryo: considerations on the embryologic origin of the subclavian artery. Surg Radiol Anat. 1992;14(1):71–9.PubMed

Congdon ED. Transformation of the aortic-arch system during the development of the human embryo. Contrib Embryol. 1922;14(68):49–110.

10.

Padget DH. Designation of the embryonic intersegmental arteries in reference to the vertebral artery and subclavian stem. Anat Rec. 1954;119(3):349–56.PubMed

11.

Myers PO, Fasel JH, Kalangos A, Gailloud P. Arteria lusoria: developmental anatomy, clinical, radiological and surgical aspects. Ann Cardiol Angeiol. 2010;59(3):147–54.

12.

Corone P, Vernant P. Anomalies des arcs aortiques. Encycl Med Chir, Coeur et vaisseaux Elsevier, Paris. 1970;11:40–50.

13.

Brown DL, Chapman WC, Edwards WH, Coltharp WH, Stoney WS. Dysphagia lusoria: aberrant right subclavian artery with a kommerell’s diverticulum. Am Surg. 1993;59(9):582–6.PubMed

14.

Generali T, Varrica A, Frigiola A. Right-sided aortic arch with kommerell’s diverticulum causing tracheal stenosis. Asian Cardiovasc Thorac Ann. 2013;21(2):243–4.PubMed

15.

Lesko M, Zacek P, Belobradek Z, Raupach J, Vojacek J. One-step supraclavicular approach to the treatment of dysphagia lusoria. J Card Surg. 2014;29(4):519–22.PubMed

16.

Austin EH, Wolfe WG. Aneurysm of aberrant subclavian artery with a review of the literature. J Vasc Surg. 1985;2(4):571–7.PubMed

17.

Han MT, Hall DG, Manche A, Rittenhouse EA. Double aortic arch causing tracheoesophageal compression. Am J Surg. 1993;165(5):628–31.PubMed

18.

Kleine P, Balci M, Moritz A. Primary complete repair of partial double aortic arch and kommerell diverticulum. Ann Thorac Surg. 2011;91(2):627–9.PubMed

19.

Mossad E, Farid I, Youssef G, Ando M. Diverticulum of kommerell: a review of a series and a report of a case with tracheal deviation compromising single lung ventilation. Anesth Analg. 2002;94(6):1462–4 (Table of contents).PubMed

20.

Saeed G, Neuzner J, Gradaus R. Double aortic arch and kommerell’s diverticulum. Asian Cardiovasc Thorac Ann. 2014;22(7):882–3.PubMed

21.

Avisse C, Marcus C, Delattre JF, et al. Right nonrecurrent inferior laryngeal nerve and arteria lusoria: the diagnostic and therapeutic implications of an anatomic anomaly. Review of 17 cases. Surg Radiol Anat. 1998;20(3):227–32.PubMed

22.

Salomonowitz E, Edwards JE, Hunter DW, et al. The three types of aortic diverticula. AJR Am J Roentgenol. 1984;142(4):673–9.PubMed

23.

Grollman JH Jr, Harris CH, Hamilton LC. Congenital diverticula of the aortic arch. N Engl J Med. 1967;276(21):1178–82.PubMed

24.

van Son JA, Konstantinov IE. Burckhard f. Kommerell and kommerell’s diverticulum. Tex Heart Inst J. 2002;29(2):109–12.PubMedCentralPubMed

25.

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.PubMed

26.

Velasquez G, Nath PH, Castaneda-Zuniga WR, Amplatz K, Formanek A. Aberrant left subclavian artery in tetralogy of fallot. Am J Cardiol. 1980;45(4):811–8.PubMed

27.

Nakajima Y, Nishibatake M, Ikeda K, Momma K, Takao A, Terai M. Abnormal development of fourth aortic arch derivatives in the pathogenesis of tetralogy of fallot. Pediatr Cardiol. 1990;11(2):69–71.PubMed

28.

Stone WM, Ricotta JJ 2nd, Fowl RJ, Garg N, Bower TC, Money SR. Contemporary management of aberrant right subclavian arteries. Ann Vasc Surg. 2011;25(4):508–14.PubMed

29.

Hastreiter AR, D’Cruz IA, Cantez T, Namin EP, Licata R. Right-sided aorta. I. Occurrence of right aortic arch in various types of congenital heart disease. Ii. Right aortic arch, right descending aorta, and associated anomalies. Br Heart J. 1966;28(6):722–39.PubMedCentralPubMed

30.

Freed K, Low VH. The aberrant subclavian artery. AJR Am J Roentgenol. 1997;168(2):481–4.PubMed

31.

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.PubMed

32.

Holzapfel G. Ungewöhnlicher ursprung und verlauf der arteria subclavia dextra. Anatomische Hefte 1899;12(3):369-523 ( 0177-5154).

33.

Woods RK, Sharp RJ, Holcomb GW 3rd, et al. Vascular anomalies and tracheoesophageal compression: A single institution’s 25-year experience. Ann Thorac Surg. 2001;72(2):434–8 (Discussion 438–439).PubMed

34.

Backer CL, Mavroudis C, Rigsby CK, Holinger LD. Trends in vascular ring surgery. J Thorac Cardiovasc Surg. 2005;129(6):1339–47.PubMed

35.

Gomes MM, Bernatz PE, Forth RJ. Arteriosclerotic aneurysm of an aberrant right subclavian artery. Dis Chest. 1968;54(6):549–52.PubMed

36.

Brown K, Batra P. Mr imaging of aneurysm of an aberrant right subclavian artery. J Comput Assist Tomogr. 1987;11(6):1071–3.PubMed

37.

Felson B. Ruptured anomalous right subclavian artery: aneurysm or diverticulum? Semin Roentgenol. 1989;24(2):121–6.PubMed

38.

Atay Y, Engin C, Posacioglu H, et al. Surgical approaches to the aberrant right subclavian artery. Tex Heart Inst J. 2006;33(4):477–81.PubMedCentralPubMed

39.

Beabout JW, Stewart JR, Kincaid OW. Aberrant right subclavian artery: dispute of commonly accepted concepts. Am J Roentgenol Radium Ther Nucl Med. 1964;92:855–64.PubMed

40.

Aoyagi S, Akashi H, Tayama K, Fujino T. Aneurysm of aberrant right subclavian [corrected] artery arising from diverticulum of kommerell. Report of a case with tracheal compression. Eur J Cardiothorac Surg. 1997;12(1):138–40.PubMed

41.

Davidian M, Kee ST, Kato N, et al. Aneurysm of an aberrant right subclavian artery: treatment with ptfe covered stentgraft. J Vasc Surg. 1998;28(2):335–9.PubMed

42.

Cina CS, Arena GO, Bruin G, Clase CM. Kommerell’s diverticulum and aneurysmal right-sided aortic arch: a case report and review of the literature. J Vasc Surg. 2000;32(6):1208–14.PubMed

43.

Caus T, Gaubert JY, Monties JR, et al. Right-sided aortic arch: surgical treatment of an aneurysm arising from a kommerell’s diverticulum and extending to the descending thoracic aorta with an aberrant left subclavian artery. Cardiovasc Surg. 1994;2(1):110–3.PubMed

44.

Ota T, Okada K, Takanashi S, Yamamoto S, Okita Y. Surgical treatment for kommerell’s diverticulum. J Thorac Cardiovasc Surg. 2006;131(3):574–8.PubMed

45.

Kouchoukos NT, Masetti P. Aberrant subclavian artery and kommerell aneurysm: surgical treatment with a standard approach. J Thorac Cardiovasc Surg. 2007;133(4):888–92.PubMed

46.

Cina CS, Althani H, Pasenau J, Abouzahr L. Kommerell’s diverticulum and right-sided aortic arch: a cohort study and review of the literature. J Vasc Surg. 2004;39(1):131–9.PubMed

47.

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.PubMed

48.

Tsukui H, Aomi S, Yamazaki K. Surgical strategy for kommerell’s diverticulum: total arch replacement. J Thorac Cardiovasc Surg. 2014;148(4):1423–7.PubMed

49.

Ishikawa N, Oi M, Maruta K, Iizuka H, Kawaura H. Surgical treatment for right aortic arch with kommerell’s diverticulum. Asian Cardiovasc Thorac Ann. 2013;21(6):724–6.PubMed

50.

Abuchaim DC, Burger M, Berwanger SA, Faraco DL. Vascular ring related to kommerell diverticula: case report. Rev Bras Cir Cardiovasc. 2007;22(3):352–4.PubMed

51.

Grillo HC, Wright CD. Tracheal compression with “hairpin” right aortic arch: management by aortic division and aortopexy by right thoracotomy guided by intraoperative bronchoscopy. Ann Thorac Surg. 2007;83(3):1152–7.PubMed

52.

Munakata M, Itaya H, Fukui K, Ono Y. One-stage repair for aortic regurgitation and kommerell diverticulum with aneurysmal right aortic arch. J Thorac Cardiovasc Surgery. 2007;133(3):798–9.

53.

Alvarez JR, Quiroga SJ, Nazar AB, Comendador MJ, Carro GJ. Aberrant right subclavian artery and calcified aneurysm of kommerell’s diverticulum: an alternative approach. J Cardiothorac Surg. 2008;3:43.PubMedCentralPubMed

54.

Hata H, Shibukawa T, Satoh H. Surgical repair of aberrant subclavian artery through clamshell approach. Ann Thorac Surg. 2012;94(4):1362–4.PubMed

55.

Kim JB, Yang DH, Kang JW. Right aortic arch and an aberrant left subclavian artery arising from a kommerell diverticulum complicated by acute aortic dissection. J Thorac Cardiovasc Surg. 2012;144(4):978–9.PubMed

56.

Shinkawa T, Greenberg SB, Jaquiss RD, Imamura M. Primary translocation of aberrant left subclavian artery for children with symptomatic vascular ring. Ann Thorac Surg. 2012;93(4):1262–5.PubMed

57.

Scaglione M, Pinto A, Di Pietto F, Meucci E, Lassandro F. Traumatic avulsion of an aberrant right subclavian artery associated with a diverticulum of kommerell in a patient with bicarotid trunk: multidetector ct diagnosis. J Trauma. 2009;67(4):E115–7.PubMed

58.

Kir M, Saylam GS, Karadas U, et al. Vascular rings: presentation, imaging strategies, treatment, and outcome. Pediatr Cardiol. 2012;33(4):607–17.PubMed

59.

Panduranga P, Al-Delamie T, Ratnam L, Al-Mukhaini M, Zachariah S. Repair of kommerell’s diverticulum with aberrant left subclavian artery in an elderly patient with right aortic arch and dysphagia lusoria. J Card Surg. 2011;26(6):637–40.PubMed

60.

Taif S. Al Kalbani J A case of acute traumatic aortic injury of a right-sided aortic arch with rupture of an aberrant left subclavian artery. J Radiol Case Rep. 2013;7(12):1–9.PubMedCentralPubMed

61.

Inami T, Seino Y, Mizuno K. Unique case of giant kommerell diverticulum with aberrant left subclavian artery arising from the left aortic arch associated with situs inversus. Int J Cardiol. 2013;163(3):e47–8.PubMed

62.

Reyes KG, Gill IS, Temes T, Griffin NC. Aortoesophageal fistula associated with a kommerell diverticulum and right-sided aortic arch. J Thorac Cardiovasc Surg. 2008;136(4):1091–3.PubMed

63.

Suarez AE, Slivka R. Acute superior vena cava syndrome after rupture of kommerell’s diverticulum: a case report. Ann Emerg Med. 2013;61(3):348–50.PubMed

64.

Bhandary SP, Papadimos TJ, Svensson LG, Sale S. Anesthetic management of the resection of a kommerell’s diverticulum. J Cardiothorac Vasc Anesth. 2015;29(1):142–5.PubMed

65.

Hosoba S, Suzuki T, Asai T, et al. Surgical repair of kommerell’s diverticulum and an aberrant subclavian artery. Surg Today. 2014;44(2):247–51.PubMed

66.

Hori D, Tanaka M, Yamaguchi A, Adachi H. Type a aortic dissection, right-sided aortic arch, and thoracic aortic aneurysm. Asian Cardiovasc Thorac Ann. 2009;17(6):640–2.PubMed

67.

Keeling WB, Kerendi F, Chen EP. Total aortic arch replacement for the treatment of kommerell’s diverticulum in a jehovah’s witness. J Card Surg. 2010;25(3):333–5.PubMed

68.

Kim SY, Lee YS, Bae KR, Lee JB, Lee S, Kwon OC. A case of type b dissecting aneurysm involving right sided aorta with kommerell’s diverticulum. Korean J Intern Med. 2010;25(3):327–30.PubMedCentralPubMed

69.

Obitsu Y, Koizumi N, Iwahashi T, Saiki N, Shigematsu H. Surgical repair for aortic dissection accompanying a right-sided aortic arch. J Cardiothorac Surg. 2010;5:35.PubMedCentralPubMed

70.

Pac FA, Okten S, Ece I. Left aortic arch and right descending aorta with kommerell’s diverticulum. Pediatr Cardiol. 2010;31(6):933–4.PubMed

71.

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(1):62–4.PubMed

72.

Cox DA, Quinn RD, Moran AM. Two cases of a double aortic arch with left arch atresia subtype 2 and kommerell’s diverticulum. Cardiol Young. 2011;21(2):220–1.PubMed

73.

Kasnar-Samprec J, Schreiber C, Horer J, et al. Primary resection of kommerell’s diverticulum in a 37-year-old patient. Thorac Cardiovasc Surg. 2011;59(5):307–8.PubMed

74.

Lee CY, Moraca RJ, Benckart DH, Bailey SH, Magovern GJ Jr, Muluk S. Thoracic endovascular aortic repair of an aberrant right subclavian artery: technique and long-term outcome. J Card Surg. 2010;25(4):390–3.PubMed

75.

Akita M, Urashima K. A remnant left aortic arch and a right aortic arch as well as kommerell’s diverticulum with an aberrant left subclavian artery. Interact Cardiovasc Thorac Surg. 2011;12(1):70–1.PubMed

76.

Wolford HY, Surowiec SM, Hsu JH, et al. Stacked proximal aortic cuffs: an “off-the-shelf” solution for treating focal thoracic aortic pathology. J Endovasc Ther. 2005;12(5):574–8.PubMed

77.

Odero A, Bozzani A, Pirrelli S. Endovascular treatment of acute type b dissection and kommerell’s diverticulum. Ann Thorac Surg. 2007;84(5):1736–8.PubMed

78.

Naoum JJ, Parenti JL, LeMaire SA, Coselli JS. Endovascular repair of a right-sided descending thoracic aortic aneurysm with a right-sided aortic arch and aberrant left subclavian artery. Ann Thorac Surg. 2008;85(3):1074–6.PubMed

79.

Dainese L, Spirito R, Barili F, et al. Right aortic arch related to kommerell diverticulum and internal carotid artery agenesis. Circ Cardiovasc Imaging. 2009;2(2):e6–7.PubMed

80.

Frigatti P, Grego F, Deriu GP, Lepidi S. Hybrid endovascular treatment of aneurysm degeneration in a rare right-aortic arch anomaly with kommerell diverticulum. J Vasc Surg. 2009;50(4):903–6.PubMed

81.

Midorikawa H, Kannno M, Ishikawa K, Takano T, Ono T, Morishima S. Endovascular repair of a kommerell’s diverticulum and aneurysmal right-sided aortic arch: a case report. Ann Vasc Dis. 2009;2(1):54–7.PubMedCentralPubMed

82.

Riesenman PJ, Campbell CL, Farber MA. Endovascular repair of a kommerell’s diverticulum in a patient with a left-sided aortic arch and right-sided descending thoracic aorta. J Vasc Surg. 2009;49(6):1577–9.PubMed

83.

Bosma J, van Swijndregt AD, Vahl AC. Hybrid treatment of a ruptured diverticulum of kommerell. J Endovasc Ther. 2010;17(6):762–6.PubMed

84.

Murzi M, Mariani M, Karimov JH, Gilmanov D, Berti S, Glauber M. Hybrid repair of a kommerell’s diverticulum aneurysm. J Card Surg. 2010;25(1):67–9.PubMed

85.

Kawajiri H, Shimizu H, Yoshitake A, Yozu R. Hybrid repair of a kommerell diverticulum associated with a right aortic arch and a left descending aorta. J Vasc Surg. 2012;56(6):1727–30.PubMed

86.

Stanley GA, Arko FR 3rd, Foteh MI, Jessen ME, DiMaio JM. Hybrid endovascular treatment of an anomalous right subclavian artery dissection in a patient with marfan syndrome. Ann Thorac Surg. 2012;94(2):639–41.PubMed

87.

Yamashiro S, Nagano T, Kuniyoshi Y, Kise Y, Maeda T, Arakaki R. Endovascular repair of intrathoracic ruptured kommerell’s diverticulum. Asian Cardiovasc Thorac Ann. 2012;20(5):587–90.PubMed

88.

Andersen ND, Barfield ME, Hanna JM, et al. Intrathoracic subclavian artery aneurysm repair in the thoracic endovascular aortic repair era. J Vasc Surg. 2013;57(4):915–25.PubMed

89.

Gafoor S, Stelter W, Bertog S, Sievert H. Fully percutaneous treatment of an aberrant right subclavian artery and thoracic aortic aneurysm. Vascular medicine. 2013;18(3):139–44.PubMed

90.

Knepper J, Criado E. Surgical treatment of kommerell’s diverticulum and other saccular arch aneurysms. J Vasc Surg. 2013;57(4):951–4.PubMed

91.

Silveira PG, Franklin RN, Cunha JR, Neves TT, Nascimento GG, Bortoluzzi CT. Total endovascular repair of aberrant left subclavian artery with kommerell’s diverticulum using a customized branched device. J Vasc Surg. 2013;57(4):1123–5.PubMed

92.

Wong RH, Chow SC, Lok JK, et al. Hybrid treatment for ruptured diverticulum of kommerell: a minimally invasive option. Ann Thorac Surgery. 2013;95(4):e95–6.

93.

Guo Y, Yang B, Cai H, Jin H. Hybrid repair of penetrating aortic ulcer associated with right aortic arch and aberrant left innominate artery arising from aneurysmal kommerell’s diverticulum with simultaneous repair of bilateral common iliac artery aneurysms. Ann Vasc Surg. 2014;28(2):490.e5–8.

94.

Kawajiri H, Oka K, Kanda K, Yaku H. Two-stage hybrid repair for a kommerell diverticulum in a right-sided aortic arch associated with multivessel coronary disease and atrial septal defect. J Thorac Cardiovasc Surg. 2014;147(1):532–4.PubMed

95.

Monaco M, Lillo S, La Marca Giordano A, Contaldo A, Schiavone V. Endovascular repair of a right-sided thoracic aortic aneurysm with kommerell diverticulum and aberrant left subclavian artery. Annals of vascular surgery. 2014;28(5):1323 e1321–5.

96.

Vucemilo I, Harlock JA, Qadura M, Guirgis M, Gowing RN, Tittley JG. Hybrid repair of symptomatic aberrant right subclavian artery and kommerell’s diverticulum. Ann Vasc Surg. 2014;28(2):411–20.PubMed

97.

Motoki M, Hattori K, Kato Y, et al. Endovascular repair of ruptured aberrant left subclavian artery with right aortic arch. Ann Thorac Surg. 2013;95(2):699–701.PubMed

98.

Kobayashi N, Takebayashi T, Saito S, Terashita T, Shimokawa T, Matsuda S. Coincidence of a right retroaortic circumflex coronary artery and a right-sided aortic arch with a retroesophageal course of the left subclavian artery (arteria lusoria). Clin Anat. 2006;19(4):354–7.PubMed

99.

Lee TY, Ng SH, Liang CD, Hsieh MJ, Ko SF. Dissection of kommerell’s aneurysm mimicking aortic arch dissection on echocardiography: multislice computed tomographic diagnosis. J Thorac Cardiovasc Surg. 2006;132(5):1228–30.PubMed

100.

Nozue T, Mori N, Michishita I. A case diagnosed as bronchial asthma revealing a diverticulum of kommerell with an aberrant right subclavian artery. Intern Med. 2006;45(10):701–2.PubMed

101.

Kanazawa S, Kinoshita Y, Sougawa M, Yamaguchi K, Nomura S. High-grade stenosis of the trachea caused by a kommerell’s diverticulum in a right-sided aortic arch. Intern Med. 2007;46(12):919–20.PubMed

102.

Panagiotou M, Filias V, Prokakis C, Koletsis E. Asymptomatic pseudo-aneurysm of the aortic arch in a patient with aberrant right subclavian artery. A complication of kommerell’s diverticulum? Interact Cardiovasc Thorac Surg. 2008;7(4):730–1.PubMed

103.

Barranhas AD, Indiani JM, Marchiori E, Santos AA, Rochitte CE. Atypical presentation of kommerell’s diverticulum. Arq Bras Cardiol. 2009;e88-90(6):e101–3.

104.

Carbone I, Sedati P, Galea N, Algeri E, Passariello R. Right-sided aortic arch with kommerell’s diverticulum: 64-dcta with 3d reconstructions. BMJ case reports 2009; 2009:bcr2007087072.

105.

Klonaris C, Avgerinos ED, Katsargyris A, et al. Endovascular repair of a right-sided descending thoracic aortic aneurysm associated with a right aortic arch and a left subclavian artery arising from a kommerell’s diverticulum. Cardiovasc Intervent Radiol. 2009;32(4):758–61.PubMed

106.

Mouton WG, Wyss A. Kommerell’s diverticulum. Euro J Cardiothorac Surg. 2009;36(1):188.

107.

Rousou AJ, Tetenta S, Boffa DJ. Pulmonary artery agenesis and kommerell’s diverticulum presenting with hemoptysis. Euro J Cardiothorac Surg. 2009;35(2):370–2.

108.

Agematsu K, Ueda T, Hoshino S, Nishiya Y. Rupture of kommerell diverticulum after total arch replacement. Interact CardioVasc Thorac Surg. 2010;11(6):800–2.PubMed

109.

Cannavale A, Francone M, Galea N, Roggini M, Carbone I. Three-dimensional magnetic resonance imaging of kommerell diverticulum in a child with recurrent dysphagia. J Pediatr Surg. 2010;45(10):2092–3.PubMed

110.

Fang HY, Wu CJ. Haemomediastinum, haemopericardium and haemothorax caused by elective transradial coronary angiography in a rare kommerell’s diverticulum. Euro J Cardiothorac Surg. 2010;37(4):957.

111.

Kawano T, Soeda M, Hata H, Hirayama A. Multidetector computed tomography images of right aortic arch and a left subclavian artery arising from a kommerell diverticulum. J Am Coll Cardiol. 2010;55(7):697.PubMed

112.

Nagashima M, Shikata F, Higaki T, Kawachi K. Cervical aortic arch and kommerell’s diverticulum associated with the anomalous subaortic left brachiocephalic vein in a patient with chromosome 22q11.2 deletion. Interact CardioVasc Thorac Surg. 2010;11(2):202–3.PubMed

113.

Nakahira A, Hirai H, Sasaki Y, Suehiro S. Agenesis of the left carotid artery in the right aortic arch with kommerell diverticulum. J Thorac Cardiovasc Surg. 2010;140(1):e5–7.PubMed

114.

Wu JY, Chen HY, Shu CC, Yu CJ. Kommerell diverticulum, right-sided aorta, and left aberrant subclavian artery in a patient with dysphagia. J Thorac Cardiovasc Surg. 2010;139(5):e97–8.PubMed

115.

Anagnostakou V, Nenekidis I, Zisis C, Dedeilias P. Huge kommerell’s diverticulum associated with type-b aortic dissection. Euro J Cardiothorac Surg. 2011;40(3):771.

116.

Luty C, Laroia S, Burr M. Spontaneous kommerell diverticulum dissection. J Vasc Interv Radiol. 2012;23(11):1443.PubMed

117.

Margolis J, Bilfinger T, Labropoulos N. A right-sided aortic arch and aberrant left subclavian artery with proximal segment hypoplasia. Interact CardioVasc Thorac Surg. 2012;14(3):370–1.PubMedCentralPubMed

118.

Shiga Y, Miura S, Hitaka Y, Saku K. Right aortic arch with kommerell’s diverticulum using 64-mdct. Intern Med. 2012;51(11):1437–8.PubMed

119.

Demirkol S, Balta S, Bozlar U, Sari S, Unlu M, Arslan Z. Kommerell diverticulum associated with aberrant left subclavian artery and right-sided aortic arch. Euro Heart J Cardiovasc Imaging. 2013;14(8):764.

120.

Marinho J, Pires A, Sousa G, Castela E. Right subclavian artery aneurysm in an adolescent with a bicuspid aortic valve. Pediatr Cardiol. 2013;34(8):1952–4.PubMed

121.

Strachinaru M, Damry N, Nazeri A, Jousten I, Costescu I. Right-sided gothic aortic arch and kommerell diverticulum. Euro Heart J Cardiovasc Imaging. 2013;14(9):864.

122.

Lee CH, Son JW, Park JS. Comprehensive three-dimensional analysis of right-sided aortic arch with multiple vascular anomalies. BMC Cardiovasc Disord. 2014;14:104.PubMedCentralPubMed

123.

Bodine JA, D’Souza VJ, Formanek AG. An unusual type of dissecting thoracic aneurysm in association with right aortic arch. VASA Zeitschrift fur Gefasskrankheiten. 1982;11(3):223–8.PubMed

124.

Fraisse A, Ovaert C, Luciano D, Mitchell J, Kreitmann B. Kommerell diverticulum should be removed when operating symptomatic children with aberrant right subclavian artery (vascular ring). J Am College Cardiol 2013;61(10_S).

125.

Alper F, Akgun M, Kantarci M, et al. Demonstration of vascular abnormalities compressing esophagus by mdct: special focus on dysphagia lusoria. Eur J Radiol. 2006;59(1):82–7.PubMed

126.

Malik TH, Bruce IA, Kaushik V, Willatt DJ, Wright NB, Rothera MP. The role of magnetic resonance imaging in the assessment of suspected extrinsic tracheobronchial compression due to vascular anomalies. Arch Dis Child. 2006;91(1):52–5.PubMedCentralPubMed

127.

Apley J. Congenital anomalies of the aortic arch and its branches. Proc R Soc Med. 1949;42(11):918–22.PubMedCentralPubMed

128.

Mahoney EB, Manning JA. Congenital abnormalities of the aortic arch. Surgery. 1964;55:1–14.PubMed

129.

Janssen M, Breburda CS, van Geuns RJ, et al. Images in cardiovascular medicine. Aberrant right subclavian artery mimics aortic dissection. Circulation. 2000;101(4):459–60.PubMed

130.

Julsrud PR, Ehman RL. Magnetic resonance imaging of vascular rings. Mayo Clin Proc. 1986;61(3):181–5.PubMed

131.

Sahn DJ, Valdes-Cruz LM, Ovitt TW, et al. Two dimensional echocardiography and intravenous digital video subtraction angiography for diagnosis and evaluation of double aortic arch. Am J Cardiol. 1982;50(2):342–6.PubMed

132.

Yusuf TE, Levy MJ, Wiersema MJ, et al. Utility of endoscopic ultrasound in the diagnosis of aberrant right subclavian artery. J Gastroenterol Hepatol. 2007;22(11):1717–21.PubMed

133.

Hernandez RJ. Magnetic resonance imaging of mediastinal vessels. Magn Reson Imaging Clin N Am. 2002;10(2):237–51.PubMed

134.

Lee EY, Siegel MJ, Hildebolt CF, Gutierrez FR, Bhalla S, Fallah JH. Mdct evaluation of thoracic aortic anomalies in pediatric patients and young adults: comparison of axial, multiplanar, and 3d images. AJR Am J Roentgenol. 2004;182(3):777–84.PubMed

135.

Kai M, Okabayashi H, Soga Y, et al. Total arch replacement through a midsternotomy for a right-sided aortic arch aneurysm with an aberrant left subclavian artery. J Thorac Cardiovasc Surg. 2006;132(6):1473–5.PubMed

136.

Benumof JL, Partridge BL, Salvatierra C, Keating J. Margin of safety in positioning modern double-lumen endotracheal tubes. Anesthesiology. 1987;67(5):729–38.PubMed

137.

Herway ST, Benumof JL, Golts E, Manecke GR. Major positional obstruction of the trachea in a patient with a right-sided aortic arch and kommerell’s diverticulum. J Cardiothorac Vasc Anesth. 2015;29(1):146–8.PubMed

138.

Gross RE. Surgical treatment for dysphagia lusoria. Ann Surg. 1946;124:532–4.PubMedCentral

139.

Bailey CP, Hirose T, Alba J. Re-establishment of the continuity of the anomalous right subclavian artery after operation for dysphagia lusoria. Angiology. 1965;16(9):509–13.PubMed

140.

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.PubMed

141.

Hallman GL, Cooley DA. Congenital aortic vascular ring. Surgical considerations. Arch Surg. 1964;88:666–74.PubMed

142.

Mok CK, Cheung KL, Kong SM, Ong GB. Translocating the aberrant right subclavian artery in dysphagia lusoria. Br J Surg. 1979;66(2):113–6.PubMed

143.

Fukuhara S, Patton B, Yun J, Bernik T. A novel method for the treatment of dysphagia lusoria due to aberrant right subclavian artery. Interact CardioVasc Thorac Surg. 2013;16(3):408–10.PubMedCentralPubMed

144.

Backer CL, Ilbawi MN, Idriss FS, DeLeon SY. Vascular anomalies causing tracheoesophageal compression. Review of experience in children. J Thorac Cardiovasc Surg. 1989;97(5):725–31.PubMed

145.

Backer CL, Hillman N, Mavroudis C, Holinger LD. Resection of kommerell’s diverticulum and left subclavian artery transfer for recurrent symptoms after vascular ring division. Euro J Cardiothorac Surg. 2002;22(1):64–9.

146.

Wong PH, Lee JW. Right aortic arch and kommerell’s diverticulum. Thorax. 1983;38(7):553–5.PubMedCentralPubMed

Title: Kommerell’s diverticulum in the current era: a comprehensive review
Authors: Akiko Tanaka
Ross Milner
Takeyoshi Ota
Publication date: 01-05-2015
Publisher: Springer Japan
Published in: General Thoracic and Cardiovascular Surgery / Issue 5/2015
Print ISSN: 1863-6705
Electronic ISSN: 1863-6713
DOI: https://doi.org/10.1007/s11748-015-0521-3

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Kommerell’s diverticulum in the current era: a comprehensive review

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 5/2015

Mid-term outcomes of cardiovascular surgery for patients with Marfan syndrome

The 30-day mortality and hospital mortality after chest surgery described in the annual reports published by the Japanese Association for Thoracic and Cardiovascular Surgery

An unusual case of thoracic impalement injury with severe pleural adhesion

Large aneurysm in saphenous vein coronary artery graft with fistula: case report and review

Mitral and tricuspid valve surgery for Coffin–Lowry syndrome

Can single-incision thoracoscopic surgery using a wound protector be used as a first-line approach for the surgical treatment of primary spontaneous pneumothorax? A comparison with three-port video-assisted thoracoscopic surgery