Case Reports
Aberrant Left Subclavian Artery Associated With Kommerell's Diverticulum: Chance Finding in a 75-Year-Old Patient
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
Correspondence: Dr. S. Díaz Lobato. Federico García Lorca, 2, portal 7, 2.° A. 28770 Madrid. España
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Santiago Recuerda, M.E. Corpa Rodríguez, J. García-Sánchez Girón, P. Díaz-Agero Álvarez, J.C. Vázquez Pelillo, M. Casillas Pajuelo" "autores" => array:6 [ 0 => array:3 [ "preGrado" => "Dra" "nombre" => "A." "apellidos" => "Santiago Recuerda" ] 1 => array:2 [ "nombre" => "M.E." "apellidos" => "Corpa Rodríguez" ] 2 => array:2 [ "nombre" => "J." "apellidos" => "García-Sánchez Girón" ] 3 => array:2 [ "nombre" => "P." "apellidos" => "Díaz-Agero Álvarez" ] 4 => array:2 [ "nombre" => "J.C." "apellidos" => "Vázquez Pelillo" ] 5 => array:2 [ "nombre" => "M." 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"apellidos" => "Fernández-Lahera" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] 1 => array:3 [ "nombre" => "M.A." "apellidos" => "Gómez Mendieta" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] 2 => array:3 [ "nombre" => "S." "apellidos" => "Mayoralas Alises" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] ] 3 => array:5 [ "preGrado" => "Dr." "nombre" => "S." "apellidos" => "Díaz Lobato" "email" => array:1 [ 0 => "sdl01m@nacom.es" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor1" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Neumología, Hospital Universitario La Paz, Madrid, Spain" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:3 [ "entidad" => "Servicio de Neumología, Hospital de Móstoles, Móstoles, Madrid, Spain" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "*" "correspondencia" => "Correspondence: Dr. S. Díaz Lobato. Federico García Lorca, 2, portal 7, 2.° A. 28770 Madrid. España" ] ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2004-04-26" "fechaAceptado" => "2004-05-11" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key Words" "identificador" => "xpalclavsec153684" "palabras" => array:3 [ 0 => "Aortic arch malformation" 1 => "Aberrant left subclavian artery" 2 => "Kommerell's diverticulum" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec153683" "palabras" => array:3 [ 0 => "Malformación del arco aórtico" 1 => "Arteria subclavia izquierda aberrante" 2 => "Divertículo de Kommerell" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:1 [ "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">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.</p>" ] "es" => array:1 [ "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">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.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "REFERENCES" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:5 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Vascular anomalies compressing the esophagus and trachea" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "JCR Lincoln" 1 => "PB Deverall" 2 => "J Stark" 3 => "E Aberdeen" 4 => "DJ Waterston" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Thorax" "fecha" => "1969" "volumen" => "24" "paginaInicial" => "295" "paginaFinal" => "306" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/5810371" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Disfagia lusoria causada por arteria subclavia izquierda aberrante y divertículo de Kommerell" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:3 [ 0 => "JF Guijarro" 1 => "P Moratinos" 2 => "S de la Torre" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Rev Esp Enferm Dig." 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