Kommerell diverticulum
Updates to Article Attributes
Kommerell diverticula occur in a number of anomalies of the aortic arch system.4
It usually refers to the bulbous configuration of the origin of an aberrant left subclavian artery in the setting of a right sided aortic arch. However, it was originally described as a diverticular outpouching at origin of an aberrant right subclavian artery with a left sided aortic arch.
Clinical presentation
Kommerell diverticulum may be asymptomatic, or cause symptoms of oesophageal or tracheal obstruction.
Radiographic features
Plain film
A small rounded density may be seen laterally towards the left of the trachea.
Fluoroscopy: barium swallow
An impression can be seen from left side of oesophagus simulating a double aortic arch.
CT/MRI
Typically shows bulbous enlargement of proximal subclavian artery at its origin from aortic arch, posterior to oesophagus.
History and etymology
It is named after Burckhard F Kommerell, German radiologist (1901-1990).
-<p><strong>Kommerell diverticula</strong> occur in a number of anomalies of the aortic arch system <sup>4</sup>.</p><p>It usually refers to the bulbous configuration of the origin of an aberrant left subclavian artery in the setting of a <a href="/articles/right-sided-aortic-arch">right sided aortic arch</a>. However, it was originally described as a diverticular outpouching at origin of an <a href="/articles/aberrant-right-subclavian-artery">aberrant right subclavian artery</a> with a left sided aortic arch.</p><h4>Clinical presentation</h4><p>Kommerell diverticulum may be asymptomatic, or cause symptoms of oesophageal or tracheal obstruction. </p><h4>Radiographic features</h4><h5>Plain film</h5><p>A small rounded density may be seen laterally towards the left of the trachea.</p><h5>Fluoroscopy: barium swallow</h5><p>An impression can be seen from left side of oesophagus simulating a double aortic arch.</p><h5>CT/MRI</h5><p>Typically shows bulbous enlargement of proximal subclavian artery at its origin from aortic arch, posterior to oesophagus.</p><h4>History and etymology</h4><p>It is named after <strong>Burckhard F Kommerell</strong>, German radiologist (1901-1990).</p>- +<p><strong>Kommerell diverticula</strong> occur in a number of anomalies of the aortic arch system.</p><p>It usually refers to the bulbous configuration of the origin of an aberrant left subclavian artery in the setting of a <a href="/articles/right-sided-aortic-arch">right sided aortic arch</a>. However, it was originally described as a diverticular outpouching at origin of an <a href="/articles/aberrant-right-subclavian-artery">aberrant right subclavian artery</a> with a left sided aortic arch.</p><h4>Clinical presentation</h4><p>Kommerell diverticulum may be asymptomatic, or cause symptoms of oesophageal or tracheal obstruction. </p><h4>Radiographic features</h4><h5>Plain film</h5><p>A small rounded density may be seen laterally towards the left of the trachea.</p><h5>Fluoroscopy: barium swallow</h5><p>An impression can be seen from left side of oesophagus simulating a double aortic arch.</p><h5>CT/MRI</h5><p>Typically shows bulbous enlargement of proximal subclavian artery at its origin from aortic arch, posterior to oesophagus.</p><h4>History and etymology</h4><p>It is named after <strong>Burckhard F Kommerell</strong>, German radiologist (1901-1990).</p>
Sections changed:
- Anatomy