Aberrant right subclavian artery (arteria lusoria) aneurysm with a Kommerell’s diverticulum
Aneurisma de artéria subclávia direita aberrante (artéria lusória) com divertículo de Kommerell
Elif Coşkun; Levent Altınay; Anıl Tekin; Ufuk Tütün
Abstract
Keywords
Resumo
Resumo: As opções de tratamento para artéria subclávia direita aberrante variam dependendo da presença de divertículo de Kommerell. Como há uma tendência a não relatar mortalidade nos raros casos descritos na literatura, é difícil chegar a uma conclusão sobre tratamentos tendo em vista os dados limitados sobre resultados pós-intervenção nesses pacientes. Relatamos aqui nossa experiência com um paciente de 67 anos de idade com aneurisma de artéria subclávia aberrante direita com divertículo de Kommerell diagnosticado ao acaso.
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References
Vucemilo I, Harlock AJ, Qadura M, Guirgis M, Gowing NR, Tittley GJ. Hybrid repair of symptomatic aberrant right subclavian artery and Kommerell’s diverticulum. Ann Vasc Surg. 2014;28(2):411-20. http://dx.doi.org/10.1016/j.avsg.2013.04.016. PMid:24200134.
Tsukube T, Ataka K, Sakata M, Wakita N, Okita Y. Surgical treatment of an aneurysm in the right aortic arch with aberrant left subclavian artery. Ann Thorac Surg. 2001;71(5):1710-1. http://dx.doi.org/10.1016/S0003-4975(00)02698-9. PMid:11383841.
Holzapfel G. Ungewo¨hnlicher Ursprung und Verlauf der Arteria subclavia dextra. Anat Hefte. 1899;12(3):369-523. http://dx.doi.org/10.1007/BF02301038.
Godlewski J, Widawski T, Michalak M, Kmieć Z. Aneurysm of the aberrant right subclavian artery – a case report. Pol J Radiol. 2010;75(4):47-50. PMid:22802805.
Kommerell B. Verlagerung des o¨sophagus durch eine abnorm verlaufende arteria subclavia dextra (arteria lusoria). Fortschr Geb Roentgenstrahlen. 1936;54:590-5.
Backer CL, Russell HM, Wurlitzer KC, Rastatter JC, Rigsby CK. Primary resection of kommerell diverticulum and left subclavian artery transfer. Ann Thorac Surg. 2012;94(5):1612-7. http://dx.doi.org/10.1016/j.athoracsur.2012.05.101. PMid:22884596.
Tsukui H, Aomi S, Yamazaki K. Surgical strategy for kommerell’s diverticulum: total arch replacement. J Thorac Cardiovasc Surg. 2014;148(4):1423-7. http://dx.doi.org/10.1016/j.jtcvs.2013.11.026. PMid:24365271.
Idrees J, Keshavamurthy S, Subramanian S, Clair DG, Svensson LG, Roselli EE. Hybrid repair of kommerell diverticulum. J Thorac Cardiovasc Surg. 2014;147(3):973-6. http://dx.doi.org/10.1016/j.jtcvs.2013.02.063. PMid:23535153.
Tanaka A, Milner R, Ota T. Kommerell’s diverticulum in the current era: a comprehensive review. Gen Thorac Cardiovasc Surg. 2015;63(5):245-59. http://dx.doi.org/10.1007/s11748-015-0521-3. PMid:25636900.
Esposito RA, Khalil I, Galloway AC, Spencer FC. Surgical treatment for aneurysm of aberrant subclavian artery based on a case report and a review of the literature. J Thorac Cardiovasc Surg. 1988;95(5):888-91. PMid:3283462.
Kim KM, Cambria RP, Isselbacher EM, et al. Contemporary surgical approaches and outcomes in adults with kommerell diverticulum. Ann Thorac Surg. 2014;98(4):1347-54. http://dx.doi.org/10.1016/j.athoracsur.2014.05.045. PMid:25134861.
Tassiopoulos AK, Nadalin BA, Labropoulos N, Egofske P, Keen RR. Endovascular repair of a symptomatic subclavian artery aneurysm in a patient with Marfan syndrome: a case report. Vasc Endovascular Surg. 2006;40(5):409-13. http://dx.doi.org/10.1177/1538574406293764. PMid:17038575.
Gafoor S, Stelter W, Bertog S, Sievert H. Fully percutaneous treatment of anaberrant right subclavian artery and thoracic aortic aneurysm. Vasc Med. 2013;18(3):139-44. http://dx.doi.org/10.1177/1358863X13485985. PMid:23720037.
Schwein A, Georg Y, Ohana M, et al. Treatment of aneurysmal aberrant right subclavian artery with triple-barrelstent graft. Ann Vasc Surg. 2015;29(3):e1-595.e3. http://dx.doi.org/10.1016/j.avsg.2014.10.035.
Mazzaccaro D, Derosa TM, De Febis E, Righini P, Nano G. Total endovascular repair of aberrant right subclavian artery aneurysm using the periscope technique: a case report. Int J Surg Case Rep. 2016;29:126-9. http://dx.doi.org/10.1016/j.ijscr.2016.10.067. PMid:27842259.