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Left aortic arch with retroesophageal diverticulum of Kommerell

MedGen UID:
488820
•Concept ID:
C0265885
•
Congenital Abnormality
Synonym: Kommerell diverticulum
SNOMED CT: Thoracic aorta diverticulum (74561007); Aortic diverticulum (74561007); Diverticulum of Kommerell (74561007); Kommerell's diverticulum (74561007); Kommerell diverticulum (74561007); Kommerells diverticulum (74561007)
Modes of inheritance:
Not genetically inherited
MedGen UID:
988794
•Concept ID:
CN307044
•
Finding
Source: Orphanet
clinical entity without genetic inheritance.
See: This record
Not genetically inherited (Orphanet)
 
HPO: HP:0011593
Monarch Initiative: MONDO:0020415
Orphanet: ORPHA99077

Definition

A patent ductus arteriosus or ductal ligament completes the ring. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVLeft aortic arch with retroesophageal diverticulum of Kommerell
Follow this link to review classifications for Left aortic arch with retroesophageal diverticulum of Kommerell in Orphanet.

Recent clinical studies

Etiology

Safety and efficacy of a hybrid approach for repair of complicated aberrant subclavian arteries.
Gray SE, Scali ST, Feezor RJ, Beaver TM, Back MR, Upchurch GR Jr, Huber TS, Fatima J
J Vasc Surg 2020 Dec;72(6):1873-1882. Epub 2020 Jul 19 doi: 10.1016/j.jvs.2020.01.075. PMID: 32665182
Association of aberrant subclavian arteries with aortic pathology and proposed classification system.
Plotkin A, Ng B, Han SM, Weaver FA, Ham SW, Bowdish ME, Wilcox AG, Magee GA
J Vasc Surg 2020 Nov;72(5):1534-1543. Epub 2020 Mar 29 doi: 10.1016/j.jvs.2020.01.042. PMID: 32238310
Left aberrant subclavian artery. Systematic study in adult patients.
Tyczyński P, Michałowska I, Wolny R, Dobrowolski P, Łazarczyk H, Rybicka J, Hoffman P, Witkowski A
Int J Cardiol 2017 Aug 1;240:183-186. Epub 2017 Apr 25 doi: 10.1016/j.ijcard.2017.04.052. PMID: 28483478
Resection of Kommerell Diverticulum After the Arterial Switch for TGA With Bilateral PDAs and Right Aortic Arch.
Ochiai Y, Joo K, Onzuka T, Nakashima A, Nagatomo Y, Watanabe M, Muneuchi J
Ann Thorac Surg 2016 Oct;102(4):e321-3. doi: 10.1016/j.athoracsur.2016.02.067. PMID: 27645972
Follow-up of surgical correction of aortic arch anomalies causing tracheoesophageal compression: a 38-year single institution experience.
Ruzmetov M, Vijay P, Rodefeld MD, Turrentine MW, Brown JW
J Pediatr Surg 2009 Jul;44(7):1328-32. doi: 10.1016/j.jpedsurg.2008.11.062. PMID: 19573656

Diagnosis

Association of aberrant subclavian arteries with aortic pathology and proposed classification system.
Plotkin A, Ng B, Han SM, Weaver FA, Ham SW, Bowdish ME, Wilcox AG, Magee GA
J Vasc Surg 2020 Nov;72(5):1534-1543. Epub 2020 Mar 29 doi: 10.1016/j.jvs.2020.01.042. PMID: 32238310
Importance of absent ductus arteriosus in tetralogy of Fallot with absent pulmonary valve syndrome.
Qureshi MY, Burkhart HM, Julsrud P, Cetta F
Tex Heart Inst J 2014 Dec;41(6):664-7. Epub 2014 Dec 1 doi: 10.14503/THIJ-13-3674. PMID: 25593538Free PMC Article
Primary resection of Kommerell diverticulum and left subclavian artery transfer.
Backer CL, Russell HM, Wurlitzer KC, Rastatter JC, Rigsby CK
Ann Thorac Surg 2012 Nov;94(5):1612-7. Epub 2012 Aug 9 doi: 10.1016/j.athoracsur.2012.05.101. PMID: 22884596
Follow-up of surgical correction of aortic arch anomalies causing tracheoesophageal compression: a 38-year single institution experience.
Ruzmetov M, Vijay P, Rodefeld MD, Turrentine MW, Brown JW
J Pediatr Surg 2009 Jul;44(7):1328-32. doi: 10.1016/j.jpedsurg.2008.11.062. PMID: 19573656
Retroesophageal subclavian artery aneurysm arising from Kommerell's diverticulum.
Sala F, Bouillane PJ, Francisci MP, Diaz F, Lena P, Kreitmann P, Batt M
Ann Vasc Surg 2001 Nov;15(6):699-702. doi: 10.1007/s10016-001-0010-2. PMID: 11769155

Therapy

Safety and efficacy of a hybrid approach for repair of complicated aberrant subclavian arteries.
Gray SE, Scali ST, Feezor RJ, Beaver TM, Back MR, Upchurch GR Jr, Huber TS, Fatima J
J Vasc Surg 2020 Dec;72(6):1873-1882. Epub 2020 Jul 19 doi: 10.1016/j.jvs.2020.01.075. PMID: 32665182

Prognosis

Association of aberrant subclavian arteries with aortic pathology and proposed classification system.
Plotkin A, Ng B, Han SM, Weaver FA, Ham SW, Bowdish ME, Wilcox AG, Magee GA
J Vasc Surg 2020 Nov;72(5):1534-1543. Epub 2020 Mar 29 doi: 10.1016/j.jvs.2020.01.042. PMID: 32238310
Kommerell Diverticulum: Right Aortic Arch with Anomalous Origin of Left Subclavian Artery and Duplicity of Right Vertebral Artery in a 16-Year-Old Girl.
Silveira JV, Junqueira FP, Silveira CG, Consolim-Colombo FM
Am J Case Rep 2019 Feb 21;20:228-232. doi: 10.12659/AJCR.912053. PMID: 30787266Free PMC Article
Left aberrant subclavian artery. Systematic study in adult patients.
Tyczyński P, Michałowska I, Wolny R, Dobrowolski P, Łazarczyk H, Rybicka J, Hoffman P, Witkowski A
Int J Cardiol 2017 Aug 1;240:183-186. Epub 2017 Apr 25 doi: 10.1016/j.ijcard.2017.04.052. PMID: 28483478
Resection of Kommerell Diverticulum After the Arterial Switch for TGA With Bilateral PDAs and Right Aortic Arch.
Ochiai Y, Joo K, Onzuka T, Nakashima A, Nagatomo Y, Watanabe M, Muneuchi J
Ann Thorac Surg 2016 Oct;102(4):e321-3. doi: 10.1016/j.athoracsur.2016.02.067. PMID: 27645972
Follow-up of surgical correction of aortic arch anomalies causing tracheoesophageal compression: a 38-year single institution experience.
Ruzmetov M, Vijay P, Rodefeld MD, Turrentine MW, Brown JW
J Pediatr Surg 2009 Jul;44(7):1328-32. doi: 10.1016/j.jpedsurg.2008.11.062. PMID: 19573656

Clinical prediction guides

Anatomical characteristics of two cases of aberrant right subclavian artery.
Ito T, Itoh A, Kiyoshima D, Ikeda Y
Anat Sci Int 2022 Sep;97(4):423-427. Epub 2022 Mar 22 doi: 10.1007/s12565-022-00658-7. PMID: 35316514
Safety and efficacy of a hybrid approach for repair of complicated aberrant subclavian arteries.
Gray SE, Scali ST, Feezor RJ, Beaver TM, Back MR, Upchurch GR Jr, Huber TS, Fatima J
J Vasc Surg 2020 Dec;72(6):1873-1882. Epub 2020 Jul 19 doi: 10.1016/j.jvs.2020.01.075. PMID: 32665182
Kommerell Diverticulum: Right Aortic Arch with Anomalous Origin of Left Subclavian Artery and Duplicity of Right Vertebral Artery in a 16-Year-Old Girl.
Silveira JV, Junqueira FP, Silveira CG, Consolim-Colombo FM
Am J Case Rep 2019 Feb 21;20:228-232. doi: 10.12659/AJCR.912053. PMID: 30787266Free PMC Article
Retroesophageal right subclavian artery originating from the aortic arch distal and dorsal to the left subclavian artery.
Nakatani T, Tanaka S, Mizukami S, Okamoto K, Shiraishi Y, Nakamura T
Ann Anat 1996 Jun;178(3):269-71. doi: 10.1016/S0940-9602(96)80064-1. PMID: 8712376

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