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Cervical aortic arch with anomalous origin of the left subclavian artery from Kommerell's diverticulum

Published online by Cambridge University Press:  19 August 2008

Gunnar Norgård ,
Leon Gerlis  and
Robert Tulloh
Gunnar Norgård
Affiliation:
From the Department of Paediatric Cardiology, Royal Brompton Hospital, London
Leon Gerlis
Affiliation:
From the Department of Paediatric Cardiology, Royal Brompton Hospital, London
Robert Tulloh*
Affiliation:
From the Department of Paediatric Cardiology, Royal Brompton Hospital, London
*
Dr. Robert Tulloh, Royal Brompton Hospital, Sydney Street, SW3 6NP, London, United Kingdom. Tel. 44-171-352-8121, ext. 2253; Fax. 44-171-35 1-8 545.
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Summary

We report here a patient with right cervical arch and anomalous origin of the left subclavian artery from the diverticulum of Kommerell. This uncommon abnormality can give rise to symptoms due to compression of the trachea and esophagus. Unlike right aortic arch with mirror image pattern of branching, however, this abnormality is seldom associated with intracardiac defects. Most patients are asymptomatic, and surgery is indicated only if severe symptoms are present.

Keywords

Cervical aortic archanomalous left subclavian artery
Type
Brief Reports
Information
Cardiology in the Young , Volume 6 , Issue 2 , April 1996 , pp. 187 - 189
Copyright
Copyright © Cambridge University Press 1996

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References

1.Kommerell, B. Verlagerung der osophagus durch eine abnorm verlaufende arteria subclavia dextra (Arteria lusoria). Fortschr Geb Rontgenstr 1936; 54: 590–595.Google Scholar
2.Wong, PH, Lee, JW. Right aortic arch and Kommerell diverticulum. Thorax 1983; 38: 553–555.CrossRefGoogle Scholar
3.Druckner, MH, Symbas, PN. Right aortic arch with aberrant left subclavian artely: symptomatic in adulthood. Am J Surg 1980; 139: 432–435.CrossRefGoogle Scholar
4.Weinberg, PM. Aortic arch anomalies. In: Moss, and Adams, (eds). Heart Disease in Infants, Children and Adolescents. Volume I. Williams and Wilkins, Baltimore, 1995, pp 817–819.Google Scholar
5.Knight, L, Edwards, JE. Right aortic arch: Types and associated cardiac anomalies. Circulation 1974; 50: 1047–1051.CrossRefGoogle ScholarPubMed
6.Lincoln, JCR, Deverall, PB, Stark, J, Aberdeen, E, Waterston, DJ. Vascular anomalies compressing the oesophagus and trachea. Thorax 1969; 24: 295–306.Google Scholar
7.Kveselis, DA, Snider, AR, Dick, M, Rocchini, AP. Echocardiographic diagnosis of right aortic arch with a retroesophageal segment and left descending aorta. Am J Cardiol 1986; 57: 1198–1199.Google Scholar
8.Arcineagas, E, Hakini, M, Hertzler, JM, Farooki, ZQ, Green, EW. Surgical management of congenital vascular rings. J Thorac Cardiovasc Surg 1978; 77: 724–727.Google Scholar
9.Tonkin, IL, Elliott, LP, Bargeron, LM. Concomitant axial cineangiography and barium esophagography in the evaluation of vascular rings. Radiology 1980; 135: 69–76.CrossRefGoogle ScholarPubMed
10.Godfredson, J, Wennevold, A, Efsen, F, Lauridsen, P. Natural history of vascular ring with clinical manifestations. Scand J Thorac Cardiovasc Surg 1977; 11: 75–77.CrossRefGoogle Scholar