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Vol. 41. Issue 1.
Pages 57-58 (January 2005)
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Vol. 41. Issue 1.
Pages 57-58 (January 2005)
Case Reports
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Aberrant Left Subclavian Artery Associated With Kommerell's Diverticulum: Chance Finding in a 75-Year-Old Patient
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J. Fernández-Laheraa, M.A. Gómez Mendietaa, S. Mayoralas Alisesb, S. Díaz Lobatoa,
Corresponding author
sdl01m@nacom.es

Correspondence: Dr. S. Díaz Lobato. Federico García Lorca, 2, portal 7, 2.° A. 28770 Madrid. España
a Servicio de Neumología, Hospital Universitario La Paz, Madrid, Spain
b Servicio de Neumología, Hospital de Móstoles, Móstoles, Madrid, Spain
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The most common anomaly of the aortic arch is the occurrence of a left aortic arch with an aberrant right subclavian artery. Other, less common anomalies have also been described. These include the occurrence of a right aortic arch with an aberrant left subclavian artery that, in addition, has a diverticulum at its site of origin known as Kommerell's diverticulum. All cases described in the literature have occurred in individuals younger than 35 years of age, generally with symptoms related to tracheal or esophageal compression. We present the case of a patient diagnosed by chance with this rare anomaly at 75 years of age.

Key Words:
Aortic arch malformation
Aberrant left subclavian artery
Kommerell's diverticulum

La anomalía del arco aórtico más frecuente es la existencia de un arco aórtico izquierdo acompañado de una arteria subclavia derecha aberrante. Se han descrito otras anoma-lías más raras, entre las que se encuentra la existencia de un arco aórtico derecho asociado a una arteria subclavia izquierda aberrante que, además, tiene en su origen un divertículo, denominado divertículo de Kommerell. Todos los ca-sos descritos en la bibliografía se han producido en sujetos menores de 35 años, generalmente con síntomas relaciona-dos con compresión traqueal o esofágica. Presentamos el caso de un paciente diagnosticado de esta rara anomalía de forma casual a la edad de 75 años.

Palabras clave:
Malformación del arco aórtico
Arteria subclavia izquierda aberrante
Divertículo de Kommerell
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REFERENCES
[1]
JCR Lincoln, PB Deverall, J Stark, E Aberdeen, DJ Waterston.
Vascular anomalies compressing the esophagus and trachea.
Thorax, 24 (1969), pp. 295-306
[2]
JF Guijarro, P Moratinos, S de la Torre.
Disfagia lusoria causada por arteria subclavia izquierda aberrante y divertículo de Kommerell.
Rev Esp Enferm Dig., 94 (2002), pp. 290-297
[3]
EH Austin, WG Wolfe.
Aneurysm of aberrant subclavian artery with a review of the literature.
J Vasc Surg., 2 (1985), pp. 571-577
[4]
V Morel, H Corbineau, A Lecoz, JP Verhoye, JF Heautot, R Bassen, et al.
Two cases of asthma revealing a diverticulum of Kommerell.
Respiration, 69 (2002), pp. 456-460
[5]
JM Parker, B Cary-Freitas, BW Berg.
Symptomatic vascular rings in adulthood: an uncommon mimic of asthma.
J Asthma, 37 (2000), pp. 275-280
Copyright © 2005. Sociedad Española de Neumología y Cirugía Torácica (SEPAR)
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