Calderón-Colmenero J, Muñoz L, García-Montes JA, Ramírez S, Patiño E, Buendía A

Language: English
References: 13
Page: 451-454
PDF size: 72.95 Kb.

ABSTRACT

A case of an 11-months-old girl with vomiting and laryngeal stridor is presented, and in whom a Kommerell diverticulum was demonstrated, which is a rare variant of the incomplete vascular ring. It is well known that the magnetic resonance is the best study to define this malformation. In this patient, it was the cardiac catheterization which allowed to define the structures that constituted the vascular ring. The patient was surgically treated in a successful way. The embryological knowledge of the transformations of the aortic arches offers great assistance in the understanding of all the types of vascular rings.

REFERENCES

1. van Son J, Julsrud P, Hagler D, Sim E: Surgical treatment of vascular rings: The Mayo Clinic experience. Mayo Clin Proc 1993; 68: 1056-1063.

2. Backer C, Ilbawi M, Idriss F: Vascular anomalies causing tracheoesophageal compression. Review of experience in children. J Thorac Cardiovasc Surg 1989; 97(5): 725-731.

3. Edwards J: Anomalies of derivatives of the aortic arch system. Mayo Clin North Am 1948; 32: 225-949.

4. van Son J, Konstantinov I, Burckhard F: Kommerell and Kommerell´s diverticulum. Texas Heart Inst J 2002; 29(2): 109-112.

5. Edwards J: Malformations of the aortic system manifested as vascular rings. Lav Invest 1953; 2: 56-75.

6. Rojas GE, Conejo ML, Cuenca PV, Maese HR, Sadeck A, Ferreiro M, et al: Dysphagia and stridor due to right aortic arch with Kommerell’s diverticulum. Ann Pediatr 2004; 60(3): 288-289.

7. Buendía A, Calderón-Colmenero J, Patiño-Bahena E, Zabal C, Muñoz L, Attie F: Síndromes asociados a cardiopatías congénitas. PLAC Cardio 3. Intersistemas. México. 2002: 511-516.

8. McDougle L: Stridor in a 6 week old infant caused by right aortic arch with aberrant left subclavian artery. J Am Board Fam Pract 1999; 12(3): 219-224.

9. Morel V, Corbineau H, Lecoz A, Verhoye JP, Heautot JF, Basse R, et al: Two cases of “asthma” revealing a diverticulum of Kommerell. Respiration 2002; 69(5): 456-60.

10. Aoyagi S, Akashi H, Tayama K, Fujino T: Aneurysm of aberrant right subclavian (corrected) artery arising from diverticulum of Kommerell. Report of a case with tracheal compression. Eur J Cardiothorac Surg 1997; 12(1): 138-40.

11. Jung JY, Almond CH, Saab SB, Lababidi Z: Surgical repair of right aortic arch with aberrant left subclavian artery and left ligamentum arteriosum. J Thorac Cardiovasc Surg 1978; 75(2): 237-43.

12. Ciná CS, Althani H, Pasenau J, Abouzahy: Kommerell’s diverticulum and right-sided aortic arch: A cohort study and review of the literature. J Vasc Surg 2004; 39: 131-9.

13. Austin EH, Wolfe GW: Aneurysm of aberrant subclavian artery with a review of the literature. J Vasc Surg 1985; 2: 571-7.