Robles et al. (2019)88 Robles TA, Srinivasan A, Mazur L, Gourishankar A. Kommerell’s diverticulum with a twist: a case of recurrent wheeze in an 8-year-old boy. Glob Pediatr Health. 2019;6:2333794X19897506. http://dx.doi.org/10.1177/2333794X19897506. PMid:31903415. http://dx.doi.org/10.1177/2333794X198975...
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Male, 8 years old, with moderate persistent asthma. |
Dyspnea and wheezing |
Clinical. Albuterol and systemic steroids because of shortness of breath. Outpatients follow-up for surgical intervention (left thoracotomy division of the vascular ring) to treat the Kommerell diverticulum (KD). |
Onishi et al. (2020)1010 Onishi N, Komaki T, Nakamura M, et al. A rare case of submassive pulmonary embolism with a right aberrant subclavian artery and thrombosed kommerell diverticulum. Intern Med. 2020;59(15):1861-5. http://dx.doi.org/10.2169/internalmedicine.4495-20. PMid:32321896. http://dx.doi.org/10.2169/internalmedici...
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Male, 81 years old. Acute pulmonary embolism, KD and thrombosed pulmonary arteries. |
Dyspnea |
Clinical. Treatment with rivaroxaban 30 mg/day anticoagulation. Computed tomography (CT) performed 7 days later showed reduction of thrombi in the pulmonary arteries and the KD. |
Coşkun et al. (2019)1818 Coşkun E, Altınay L, Tekin A, Tütün U. Aberrant right subclavian artery (arteria lusoria) aneurysm with Kommerell’s diverticulum. J Vasc Bras. 2019;18:e20180091. http://dx.doi.org/10.1590/1677-5449.009118. PMid:31236102. http://dx.doi.org/10.1590/1677-5449.0091...
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Male, 67 years old. Smoker. Hypertension and chronic obstructive pulmonary disease (COPD), both under continuous pharmacological treatment. |
Asymptomatic |
Surgical. Surgical resection of the KD. |
Domínguez-Massa et al. (2019)66 Domínguez-Massa C, Berbel-Bonillo A, Pérez-Guillen M, Montero-Argudo JA. Dissected aberrant right subclavian artery with Kommerell diverticulum. Rev Port Cardiol. 2019;38(10):737.e1-4. http://dx.doi.org/10.1016/j.repc.2017.07.023. PMid:31973945. http://dx.doi.org/10.1016/j.repc.2017.07...
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Male, 54 years old. Previously diagnosed ARSA. |
Abrupt chest pain irradiating to the neck, dysphagia and dysphonia |
Surgical. Resection of the aneurysmal segment. |
Pessuti and Fontes (2019)77 Pessuti F, Fontes CAP. Divertículo de Kommerell: rara etiologia de disfagia. Rev Fac Ciênc Méd Sorocaba. 2019;21(2):98-9. http://dx.doi.org/10.23925/1984-4840.2019v21i2a12. http://dx.doi.org/10.23925/1984-4840.201...
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Female, 76 years old. |
Dysphagia, pain in the right hemithorax |
Clinical. |
Álvarez et al. (2020)55 Álvarez PF, León JMV, Álvarez AC. Esophageal compression by a mediastinal vascular structure as a result of a dysphagia lusoria. Rev Esp Enferm Dig. 2020;112(6):505. PMid:32379480. |
Female, 18 years old. |
Dysphagia |
Clinical. Guidance on dietary changes and deglutition strategies. Referred to a cardiovascular surgeon for assessment and intervention was deferred. |
Machado et al. (2016)22 Machado L, Silva AR, Mansilha A, Teixeira J. Estenose sintomática da artéria subclávia direita aberrante. Angiol Cir Vasc. 2016;12(4):275-8. http://dx.doi.org/10.1016/j.ancv.2016.08.004. http://dx.doi.org/10.1016/j.ancv.2016.08...
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Male, 56 years old. |
Progressive claudication of the right upper limb and dizziness |
Surgical. Endovascular. |
Hanžič et al. (2019)1919 Hanžič N, Čizmarević U, Lesjak V, Caf P. Aberrant right subclavian artery with a bicarotid trunk: the importance of diagnosing this rare incidental anomaly. Cureus. 2019;11(11):e6094. http://dx.doi.org/10.7759/cureus.6094. PMid:31857926. http://dx.doi.org/10.7759/cureus.6094...
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Female, 69 years old. |
Asymptomatic |
Clinical. Guidance. |
Araújo et al. (2015)2626 Araújo G, Bizzi JWJ, Muller J, Cavazzola LT. “Dysphagia lusoria” - right subclavian retroesophageal artery causing intermitent esophageal compression and eventual dysphagia - a case report and literature review. Int J Surg Case Rep. 2015;10:32-4. http://dx.doi.org/10.1016/j.ijscr.2015.02.048. PMid:25797354. http://dx.doi.org/10.1016/j.ijscr.2015.0...
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Female, 70 years old. History of gastroesophageal reflux disease, treated with proton-pump inhibitors. |
Occasional dysphagia |
Clinical. |
Xiong et al. (2020)2525 Xiong S, Wang D, Li J. Endovascular repair of type A aortic intramural hematoma accompanied by aberrant right subclavian artery and Kommerell’s diverticulum: a case report. BMC Cardiovasc Disord. 2020;20(1):220. http://dx.doi.org/10.1186/s12872-020-01504-2. PMid:32404054. http://dx.doi.org/10.1186/s12872-020-015...
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Male, 53 years old. Hypertension and chronic renal failure. |
Chest and back pain |
Surgical. Endovascular repair. |
Drullinsky et al. (2017)2727 Drullinsky D, Gill H, Bayne JP, Morin JF, Obrand D. Hybrid management of a ruptured right subclavian artery aneurysm dissection. J Vasc Surg Cases Innov Tech. 2017;3(4):198-200. http://dx.doi.org/10.1016/j.jvscit.2017.03.003. PMid:29349422. http://dx.doi.org/10.1016/j.jvscit.2017....
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Female, 74 years old. Hypertension, osteoporosis, right hip joint replacement. |
Weakness of the right upper limb with weakened pulses and fall in temperature |
Surgical. Hybrid repair (endovascular and conventional surgery). |
Suárez-Mantilla et al. (2018)2828 Suárez-Mantilla S, Rey-Ayala M, Rodríguez-Restrepo L, Lubinus-Badillo FG. Arteria Lusoria, reporte de un caso clínico. MedUNAB. 2018;21(1):122-9. http://dx.doi.org/10.29375/01237047.2611. http://dx.doi.org/10.29375/01237047.2611...
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Female, 3-month-old newborn. |
Dysphagia, dry cough |
Clinical. Surgery was recommended, but the patient’s family chose conservative treatment. |
Bohatch et al. (2017)2929 Bohatch MS Jr, Silva AFV, Regueira A Fo, Dantas MH, Beck RT. Aberrant right subclavian artery and lusoria dysphagia. SBC. 2017;30(4):154. Imagem. |
Female, 85 years old, hypertension. |
Mild dysphagia for solids |
Clinical. Watchful waiting and lifestyle changes. |
Powell (2017)3030 Powell BL. Vascular ring presenting as dysphagia in an adult woman: a case report. Ann R Coll Surg Engl. 2017;99(1):e3-5. http://dx.doi.org/10.1308/rcsann.2016.0232. PMid:27551905. http://dx.doi.org/10.1308/rcsann.2016.02...
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Female, 48 years old, healthy. Continuous treatment with proton-pump inhibitor for dysphagia of unknown causes. |
Progressive dysphagia for solids with occasional regurgitations and worsening during the previous 2 years |
Surgical. Extra-anatomic bypass of the aortic arch and right subclavian artery; endovascular repair 4 months later. |
Thoreau et al. (2017)3131 Thoreau B, Bigot A, Diallo BD, Pucheux J, Marchand E, Diot E. Une cause rare d’ischémie digitale. Rev Med Interne. 2017;38(3):218-9. http://dx.doi.org/10.1016/j.revmed.2015.12.028. PMid:26852083. http://dx.doi.org/10.1016/j.revmed.2015....
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Female, 87 years old, without prior risk factors. |
Subacute digital Ischemia of the phalanx of the right index finger, complicated by necrosis |
Surgical. Ilomedin to control ischemia + surgery (supraclavicular cervicotomy) after finding KD + ARSA. |
Marenchino and Domenech (2016)3232 Marenchino RG, Domenech A. Single stage aortic arch replacement without circulatory arrest. Aorta. 2016;4(1):29-31. http://dx.doi.org/10.12945/j.aorta.2016.15.008. PMid:27766272. http://dx.doi.org/10.12945/j.aorta.2016....
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Male, 78 years old, hypertension, renal failure. |
Dysphagia, back pain and severe malnutrition due to compression of the esophagus |
Surgical. Extra-anatomic debranching and direct repair of the aorta, avoiding use OF deep hypothermic cardiac arrest and reducing cardiopulmonary bypass duration because of the comorbidities. |
Faggioni et al. (2016)3333 Faggioni L, Gabelloni M, Napoli V, Iorio F, Chella A, Caramella D. Thrombosis of Kommerell’s diverticulum with subclavian steal phenomenon in a patient with non-small cell lung carcinoma under chemotherapy. Eur J Radiol Open. 2016;3:191-4. http://dx.doi.org/10.1016/j.ejro.2016.07.005. PMid:27508212. http://dx.doi.org/10.1016/j.ejro.2016.07...
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Female, 70 years old, pulmonary carcinoma diagnosed with cerebral metastases. |
Asymptomatic |
Clinical. Anticoagulation. |