Symptomatic stenosis of left subclavian artery from Kommerell's diverticulum.
Patients with a right aortic arch frequently develop an aneurysm at the origin of the left subclavian artery, called Kommerell's diverticulum; it is a remnant of the left fourth aortic arch. These variants may occur in combination with congenital heart defects or they may be isolated. We report an extremely rare case of symptomatic stenotic origin of an aberrant left subclavian artery arising from a Kommerell's diverticulum in a 39-year-old man with right-sided aortic arch who had left upper limb pain and numbness on exercise. He was successfully treated by percutaneous angioplasty and primary stent implantation.
Department of Surgery, Division of Vascular Surgery, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.
Nabil A
NA
Batheeb
Department of Surgery, Division of Vascular Surgery, Prince Sultan Military Medical City, Riyadh, Saudi Arabia louay@habbab.com.
Louay M
LM
Habbab
Department of Surgery, Division of Vascular Surgery, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.
Nabil M
NM
Qattan
D000015:Abnormalities, Multiple; D000328:Adult; D000783:Aneurysm / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D017130:Angioplasty / Q000295:instrumentation; D001013:Aorta, Thoracic / Q000002:abnormalities* / Q000000981:diagnostic imaging; D001027:Aortography / Q000379:methods; D001157:Arterial Occlusive Diseases / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D018376:Cardiovascular Abnormalities / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D003251:Constriction, Pathologic; D003680:Deglutition Disorders / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D008297:Male; D015607:Stents; D013348:Subclavian Artery / Q000002:abnormalities*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D054079:Vascular Malformations / Q000150:complications* / Q000175:diagnosis
Aorta; Aortic aneurysm; Diverticulum; Subclavian artery; thoracic