A case of right aortic arch type II combined with Kommerell's diverticulum and left innominate vein beneath the aortic arch
The combination of the right aortic arch and aberrant left subclavian artery (ALSA) with Kommerell's diverticulum (KD) is rare to coexist with the left innominate vein (LINV) beneath the aortic arch. It escalates the surgical risk undoubtedly and increases the difficulty of clinical procedures....
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| Veröffentlicht in: | Echocardiography (Mount Kisco, N.Y.) N.Y.), 2024-07, Vol.41 (7), p.e15874-n/a |
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| container_title | Echocardiography (Mount Kisco, N.Y.) |
| container_volume | 41 |
| creator | Chen, Ran Cao, Jing‐fang Liu, Lian‐di Chen, Si Zheng, Shuang |
| description | The combination of the right aortic arch and aberrant left subclavian artery (ALSA) with Kommerell's diverticulum (KD) is rare to coexist with the left innominate vein (LINV) beneath the aortic arch. It escalates the surgical risk undoubtedly and increases the difficulty of clinical procedures. We report one case diagnosed by Ultrasound and Computed Tomography Angiography (CTA).
The case starts with an ultrasound scan, which reveals the presence of an abnormal vascular pattern. Further evaluation with CTA confirms the diagnosis of the combined anatomical abnormalities: right aortic arch, aberrant left subclavian artery with Kommerell's diverticulum, and the left innominate vein beneath the aortic arch. |
| doi_str_mv | 10.1111/echo.15874 |
| format | Article |
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The case starts with an ultrasound scan, which reveals the presence of an abnormal vascular pattern. Further evaluation with CTA confirms the diagnosis of the combined anatomical abnormalities: right aortic arch, aberrant left subclavian artery with Kommerell's diverticulum, and the left innominate vein beneath the aortic arch.</description><identifier>ISSN: 0742-2822</identifier><identifier>ISSN: 1540-8175</identifier><identifier>EISSN: 1540-8175</identifier><identifier>DOI: 10.1111/echo.15874</identifier><identifier>PMID: 38924187</identifier><language>eng</language><publisher>United States</publisher><subject>Abnormalities, Multiple ; Aneurysm - complications ; Aneurysm - diagnostic imaging ; Aorta, Thoracic - abnormalities ; Aorta, Thoracic - diagnostic imaging ; Brachiocephalic Veins - abnormalities ; Brachiocephalic Veins - diagnostic imaging ; Cardiovascular Abnormalities - complications ; Cardiovascular Abnormalities - diagnostic imaging ; Computed Tomography Angiography - methods ; Diverticulum - complications ; Diverticulum - diagnostic imaging ; Echocardiography - methods ; Female ; Humans ; Kommerell's diverticulum ; left innominate vein ; Male ; right aortic arch ; Subclavian Artery - abnormalities ; Subclavian Artery - diagnostic imaging</subject><ispartof>Echocardiography (Mount Kisco, N.Y.), 2024-07, Vol.41 (7), p.e15874-n/a</ispartof><rights>2024 Wiley Periodicals LLC.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c2184-478cbf2c769e7ff4f9411524aa5d3c205aa8b5a59a04347d0d9c8ee20b5b7e3f3</cites><orcidid>0009-0000-7385-4494 ; 0009-0008-2877-6421 ; 0000-0001-9685-4235</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fecho.15874$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fecho.15874$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38924187$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chen, Ran</creatorcontrib><creatorcontrib>Cao, Jing‐fang</creatorcontrib><creatorcontrib>Liu, Lian‐di</creatorcontrib><creatorcontrib>Chen, Si</creatorcontrib><creatorcontrib>Zheng, Shuang</creatorcontrib><title>A case of right aortic arch type II combined with Kommerell's diverticulum and left innominate vein beneath the aortic arch</title><title>Echocardiography (Mount Kisco, N.Y.)</title><addtitle>Echocardiography</addtitle><description>The combination of the right aortic arch and aberrant left subclavian artery (ALSA) with Kommerell's diverticulum (KD) is rare to coexist with the left innominate vein (LINV) beneath the aortic arch. It escalates the surgical risk undoubtedly and increases the difficulty of clinical procedures. We report one case diagnosed by Ultrasound and Computed Tomography Angiography (CTA).
The case starts with an ultrasound scan, which reveals the presence of an abnormal vascular pattern. Further evaluation with CTA confirms the diagnosis of the combined anatomical abnormalities: right aortic arch, aberrant left subclavian artery with Kommerell's diverticulum, and the left innominate vein beneath the aortic arch.</description><subject>Abnormalities, Multiple</subject><subject>Aneurysm - complications</subject><subject>Aneurysm - diagnostic imaging</subject><subject>Aorta, Thoracic - abnormalities</subject><subject>Aorta, Thoracic - diagnostic imaging</subject><subject>Brachiocephalic Veins - abnormalities</subject><subject>Brachiocephalic Veins - diagnostic imaging</subject><subject>Cardiovascular Abnormalities - complications</subject><subject>Cardiovascular Abnormalities - diagnostic imaging</subject><subject>Computed Tomography Angiography - methods</subject><subject>Diverticulum - complications</subject><subject>Diverticulum - diagnostic imaging</subject><subject>Echocardiography - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Kommerell's diverticulum</subject><subject>left innominate vein</subject><subject>Male</subject><subject>right aortic arch</subject><subject>Subclavian Artery - abnormalities</subject><subject>Subclavian Artery - diagnostic imaging</subject><issn>0742-2822</issn><issn>1540-8175</issn><issn>1540-8175</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kD1PwzAQQC0EglJY-AHIGwgpYDs2dsaq4qOiUheYI8c5E6MkLnbSquLPk1JATNxyy7sn3UPojJJrOswNmMpfU6Ek30MjKjhJFJViH42I5CxhirEjdBzjGyFEUsoP0VGqMsapkiP0McFGR8De4uBeqw5rHzpnsA6mwt1mCXg2w8Y3hWuhxGvXVfjJNw0EqOuLiEu3gi3f132DdVviGmyHXdv6xrW6A7wC1-ICWtDDZVfBX_8JOrC6jnD6vcfo5f7uefqYzBcPs-lknhhGFU-4VKawzMjbDKS13GacUsG41qJMDSNCa1UILTJNeMplScrMKABGClFISG06Rpc77zL49x5ilzcumuEB3YLvY54SyWSWUcoG9GqHmuBjDGDzZXCNDpucknwbO9_Gzr9iD_D5t7cvGih_0Z-6A0B3wNrVsPlHld9NHxc76SdvOYrp</recordid><startdate>202407</startdate><enddate>202407</enddate><creator>Chen, Ran</creator><creator>Cao, Jing‐fang</creator><creator>Liu, Lian‐di</creator><creator>Chen, Si</creator><creator>Zheng, Shuang</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0009-0000-7385-4494</orcidid><orcidid>https://orcid.org/0009-0008-2877-6421</orcidid><orcidid>https://orcid.org/0000-0001-9685-4235</orcidid></search><sort><creationdate>202407</creationdate><title>A case of right aortic arch type II combined with Kommerell's diverticulum and left innominate vein beneath the aortic arch</title><author>Chen, Ran ; Cao, Jing‐fang ; Liu, Lian‐di ; Chen, Si ; Zheng, Shuang</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2184-478cbf2c769e7ff4f9411524aa5d3c205aa8b5a59a04347d0d9c8ee20b5b7e3f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Abnormalities, Multiple</topic><topic>Aneurysm - complications</topic><topic>Aneurysm - diagnostic imaging</topic><topic>Aorta, Thoracic - abnormalities</topic><topic>Aorta, Thoracic - diagnostic imaging</topic><topic>Brachiocephalic Veins - abnormalities</topic><topic>Brachiocephalic Veins - diagnostic imaging</topic><topic>Cardiovascular Abnormalities - complications</topic><topic>Cardiovascular Abnormalities - diagnostic imaging</topic><topic>Computed Tomography Angiography - methods</topic><topic>Diverticulum - complications</topic><topic>Diverticulum - diagnostic imaging</topic><topic>Echocardiography - methods</topic><topic>Female</topic><topic>Humans</topic><topic>Kommerell's diverticulum</topic><topic>left innominate vein</topic><topic>Male</topic><topic>right aortic arch</topic><topic>Subclavian Artery - abnormalities</topic><topic>Subclavian Artery - diagnostic imaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chen, Ran</creatorcontrib><creatorcontrib>Cao, Jing‐fang</creatorcontrib><creatorcontrib>Liu, Lian‐di</creatorcontrib><creatorcontrib>Chen, Si</creatorcontrib><creatorcontrib>Zheng, Shuang</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Echocardiography (Mount Kisco, N.Y.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chen, Ran</au><au>Cao, Jing‐fang</au><au>Liu, Lian‐di</au><au>Chen, Si</au><au>Zheng, Shuang</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A case of right aortic arch type II combined with Kommerell's diverticulum and left innominate vein beneath the aortic arch</atitle><jtitle>Echocardiography (Mount Kisco, N.Y.)</jtitle><addtitle>Echocardiography</addtitle><date>2024-07</date><risdate>2024</risdate><volume>41</volume><issue>7</issue><spage>e15874</spage><epage>n/a</epage><pages>e15874-n/a</pages><issn>0742-2822</issn><issn>1540-8175</issn><eissn>1540-8175</eissn><abstract>The combination of the right aortic arch and aberrant left subclavian artery (ALSA) with Kommerell's diverticulum (KD) is rare to coexist with the left innominate vein (LINV) beneath the aortic arch. It escalates the surgical risk undoubtedly and increases the difficulty of clinical procedures. We report one case diagnosed by Ultrasound and Computed Tomography Angiography (CTA).
The case starts with an ultrasound scan, which reveals the presence of an abnormal vascular pattern. Further evaluation with CTA confirms the diagnosis of the combined anatomical abnormalities: right aortic arch, aberrant left subclavian artery with Kommerell's diverticulum, and the left innominate vein beneath the aortic arch.</abstract><cop>United States</cop><pmid>38924187</pmid><doi>10.1111/echo.15874</doi><tpages>3</tpages><orcidid>https://orcid.org/0009-0000-7385-4494</orcidid><orcidid>https://orcid.org/0009-0008-2877-6421</orcidid><orcidid>https://orcid.org/0000-0001-9685-4235</orcidid></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Abnormalities, Multiple Aneurysm - complications Aneurysm - diagnostic imaging Aorta, Thoracic - abnormalities Aorta, Thoracic - diagnostic imaging Brachiocephalic Veins - abnormalities Brachiocephalic Veins - diagnostic imaging Cardiovascular Abnormalities - complications Cardiovascular Abnormalities - diagnostic imaging Computed Tomography Angiography - methods Diverticulum - complications Diverticulum - diagnostic imaging Echocardiography - methods Female Humans Kommerell's diverticulum left innominate vein Male right aortic arch Subclavian Artery - abnormalities Subclavian Artery - diagnostic imaging |
| title | A case of right aortic arch type II combined with Kommerell's diverticulum and left innominate vein beneath the aortic arch |
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