Kommerell's diverticulum, risk factor for aortic dissection.
A 54-year-old man presented with sharp chest pain and hypertension. He was treated with intravenous antihypertensive with good control of the blood pressure. Chest X-ray showed widened mediastinum, and subsequent computed tomography scan of the chest demonstrated dissection of the descending thoracic aorta. It also showed an aberrant right subclavian artery with retrograde extension of dissection and Kommerell's diverticulum, which is dilatation at the origin of the aberrant subclavian artery.
Nasir
Abdul
A
Department of Cardiothoracic Surgery, Royal Victoria Hospital, Belfast, UK. dranasir@googlemail.com
Jadoon
Mehmood
M
Ellis
Peter K
PK
Graham
Alastair N J
AN
D000784:Aortic Dissection / Q000000981:diagnostic imaging*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging*; D004108:Dilatation, Pathologic; D004240:Diverticulum / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D012307:Risk Factors; D013348:Subclavian Artery / Q000002:abnormalities* / Q000000981:diagnostic imaging*