Right arch with aberrant left subclavian artery

Case contributed by Dr Yi-Jin Kuok


Work-up of opacity seen on CXR for confusion.

Patient Data

Age: 90 years
Gender: Male

First vessel from the arch is the left commmon carotid artery. Bilateral calcified pleural plaques.
Thrombosed ligamentum arteriosum. Kommerell's diverticulum/dilatation of the origin of the left subclavian artery causes compression of the left brachiocephalic vein resulting in contrast entering the heart via alternative routes.

PlayAdd to Share

Case information

rID: 17257
Published: 30th Mar 2012
Last edited: 13th Aug 2019
System: Chest, Vascular
Inclusion in quiz mode: Included

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.