Aortic aneurysm and diverticulum of Kommerell: a dreadful concomitance
First described in 1936, the diverticulum of Kommerell (DOK) is a dilatation of the proximal segment of an aberrant subclavian artery. Appearing more frequently in the left-sided aortic arch, the aberrant right subclavian artery passes behind the esophagus toward the right arm, causing symptoms in t...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
University of São Paulo
2012-12-01
|
| Series: | Autopsy and Case Reports |
| Subjects: | |
| Online Access: | http://www.revistas.usp.br/autopsy/article/view/48324 |
| _version_ | 1819155107429744640 |
|---|---|
| author | Fernando Peixoto Ferraz de Campos Erasmo Simão da Silva Brenda Margatho Ramos Martines João Augusto dos Santos Martines |
| author_facet | Fernando Peixoto Ferraz de Campos Erasmo Simão da Silva Brenda Margatho Ramos Martines João Augusto dos Santos Martines |
| author_sort | Fernando Peixoto Ferraz de Campos |
| collection | DOAJ |
| description | First described in 1936, the diverticulum of Kommerell (DOK) is a dilatation of the proximal segment of an aberrant subclavian artery. Appearing more frequently in the left-sided aortic arch, the aberrant right subclavian artery passes behind the esophagus toward the right arm, causing symptoms in the minority of cases. Diagnosis is generally incidental with this pattern. When symptomatic, dysphagia, respiratory symptoms, hoarseness, chest pain, and upper limb ischemia are the most common complaints. Although debatable, the origin of DOK is accepted as being degenerative or congenital. The degenerative condition is normally associated with atherosclerosis and occurs more frequently after the age of 50 years with no gender predominance. Complications may be life threatening and are more commonly related to the diverticulum aneurysm or when associated with aortic diseases such as aneurysms or dissection. The authors present a case of a 67-year-old male with a history of acute chest pain, neurological disturbances, and hypertensive crisis. The diagnostic workup revealed an aortic arch aneurysm with intramural hematoma and a diverticulum aneurysm of Kommerell. Treatment was conservative at first. The patient presented a satisfactory outcome and was referred to an outpatient clinic for follow up and further therapeutic consolidation. |
| first_indexed | 2024-12-22T15:31:43Z |
| format | Article |
| id | doaj.art-6b6ed4fe6e934269b4813f4f9b8d12e9 |
| institution | Directory Open Access Journal |
| issn | 2236-1960 |
| language | English |
| last_indexed | 2024-12-22T15:31:43Z |
| publishDate | 2012-12-01 |
| publisher | University of São Paulo |
| record_format | Article |
| series | Autopsy and Case Reports |
| spelling | doaj.art-6b6ed4fe6e934269b4813f4f9b8d12e92022-12-21T18:21:22ZengUniversity of São PauloAutopsy and Case Reports2236-19602012-12-012448017Aortic aneurysm and diverticulum of Kommerell: a dreadful concomitanceFernando Peixoto Ferraz de CamposErasmo Simão da SilvaBrenda Margatho Ramos MartinesJoão Augusto dos Santos MartinesFirst described in 1936, the diverticulum of Kommerell (DOK) is a dilatation of the proximal segment of an aberrant subclavian artery. Appearing more frequently in the left-sided aortic arch, the aberrant right subclavian artery passes behind the esophagus toward the right arm, causing symptoms in the minority of cases. Diagnosis is generally incidental with this pattern. When symptomatic, dysphagia, respiratory symptoms, hoarseness, chest pain, and upper limb ischemia are the most common complaints. Although debatable, the origin of DOK is accepted as being degenerative or congenital. The degenerative condition is normally associated with atherosclerosis and occurs more frequently after the age of 50 years with no gender predominance. Complications may be life threatening and are more commonly related to the diverticulum aneurysm or when associated with aortic diseases such as aneurysms or dissection. The authors present a case of a 67-year-old male with a history of acute chest pain, neurological disturbances, and hypertensive crisis. The diagnostic workup revealed an aortic arch aneurysm with intramural hematoma and a diverticulum aneurysm of Kommerell. Treatment was conservative at first. The patient presented a satisfactory outcome and was referred to an outpatient clinic for follow up and further therapeutic consolidation.http://www.revistas.usp.br/autopsy/article/view/48324AortaAneurysmDissectionAberrant subclavian arteryChest painAtherosclerosis. |
| spellingShingle | Fernando Peixoto Ferraz de Campos Erasmo Simão da Silva Brenda Margatho Ramos Martines João Augusto dos Santos Martines Aortic aneurysm and diverticulum of Kommerell: a dreadful concomitance Autopsy and Case Reports Aorta Aneurysm Dissection Aberrant subclavian artery Chest pain Atherosclerosis. |
| title | Aortic aneurysm and diverticulum of Kommerell: a dreadful concomitance |
| title_full | Aortic aneurysm and diverticulum of Kommerell: a dreadful concomitance |
| title_fullStr | Aortic aneurysm and diverticulum of Kommerell: a dreadful concomitance |
| title_full_unstemmed | Aortic aneurysm and diverticulum of Kommerell: a dreadful concomitance |
| title_short | Aortic aneurysm and diverticulum of Kommerell: a dreadful concomitance |
| title_sort | aortic aneurysm and diverticulum of kommerell a dreadful concomitance |
| topic | Aorta Aneurysm Dissection Aberrant subclavian artery Chest pain Atherosclerosis. |
| url | http://www.revistas.usp.br/autopsy/article/view/48324 |
| work_keys_str_mv | AT fernandopeixotoferrazdecampos aorticaneurysmanddiverticulumofkommerelladreadfulconcomitance AT erasmosimaodasilva aorticaneurysmanddiverticulumofkommerelladreadfulconcomitance AT brendamargathoramosmartines aorticaneurysmanddiverticulumofkommerelladreadfulconcomitance AT joaoaugustodossantosmartines aorticaneurysmanddiverticulumofkommerelladreadfulconcomitance |