Successful Conservative Treatment of a Kommerell Aneurysm Associated With Right-Sided Aortic Arch

Vasc Endovascular Surg. 2016 Aug;50(6):458-9. doi: 10.1177/1538574416655891. Epub 2016 Jun 22.

Abstract

Right-side aortic arch is a rare congenital aortic anomaly occurring in 0.05% to 0.1% of the general population. Approximately, half of these cases may be associated with an aberrant left subclavian artery and occasionally with aneurysmatic change at its origin known as Kommerell diverticulum or aneurysm (KA). Herein we report a challenging case of a right-side aortic arch associated with KA incidentally observed in a 73-year-old male with metastatic lung cancer. After careful multidisciplinary discussion, a conservative strategy of care was successfully adopted.

Keywords: Kommerell aneurysm; aberrant subclavian artery; right-side aortic arch; vascular aneurysm.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aneurysm / complications
  • Aneurysm / diagnostic imaging
  • Aneurysm / therapy*
  • Aorta, Thoracic / abnormalities*
  • Aorta, Thoracic / diagnostic imaging
  • Aortography / methods
  • Cardiovascular Abnormalities / complications
  • Cardiovascular Abnormalities / diagnostic imaging
  • Cardiovascular Abnormalities / therapy*
  • Colonic Neoplasms / pathology*
  • Computed Tomography Angiography
  • Deglutition Disorders / complications
  • Deglutition Disorders / diagnostic imaging
  • Deglutition Disorders / therapy*
  • Humans
  • Incidental Findings
  • Lung Neoplasms / diagnostic imaging
  • Lung Neoplasms / secondary*
  • Male
  • Subclavian Artery / abnormalities*
  • Subclavian Artery / diagnostic imaging
  • Time Factors
  • Treatment Outcome

Supplementary concepts

  • Aberrant subclavian artery