EURORAD ESR

Case 11430

Right aortic arc with aberrant left sided subclavian arter originated from Kommerrell’s diverticulum: MDCT findings and VR- Reconstructions.

Author(s)
ERKOÇ Mustafa Fatih 1
ÖZTOPRAK Bilge 2
ALKAN Sevil 3
SOYLU Sinan 4

1 Numune Hastanesi, Radyoloji Bölümü, 58040 SİVAS/TURKEY
2 Cumhuriyet Üniversitesi Radyoloji ABD 58100 SİVAS/TURKEY
3 Numune Hastanesi, Enfeksiyon Hastalıkları Bölümü, 58040 SİVAS/TURKEY
4 Numune Hastanesi, Genel Cerrahi Bölümü, 58040 SİVAS/TURKEY
 
Patient
female, 68 year(s)
 
 
  • Figure 1
    Axial CT
     

    Right aortic arc.The descending aorta is on the right side of the vertebral column.

     
    Area of Interest: Thorax; Imaging Technique: CT; Procedure: Audit and standards; Special Focus: Congenital;

    White arrow shows the origin of left CCA. Red arrow shows retroesophageal position of LCA and Kommerrell’s diverticulum.

     
    Area of Interest: Thorax; Imaging Technique: CT; Procedure: Audit and standards; Special Focus: Congenital;
     
     
  • Figure 2
    Coronal CT
     

    Arrow shows the right located descending aorta.

     
    Area of Interest: Thorax; Imaging Technique: CT; Procedure: Audit and standards; Special Focus: Congenital;

    The first branch is the brachiocephalic trunk. Arrow shows the origin of first branch.

     
    Area of Interest: Thorax; Imaging Technique: CT; Procedure: Audit and standards; Special Focus: Congenital;

    The second branch is the left common carotid artery and the origin is marked with arrow.

     
    Area of Interest: Thorax; Imaging Technique: CT; Procedure: Audit and standards; Special Focus: Congenital;

    Arrow shows the left subclavian artery.

     
    Area of Interest: Thorax; Imaging Technique: CT; Procedure: Audit and standards; Special Focus: Congenital;
     
     
  • Figure 3
    MPR study
     

    Kommerrell’s diverticulum in the origin of the left subclavian artery.

     
    Area of Interest: Thorax; Imaging Technique: CT; Procedure: Computer Applications-3D; Special Focus: Congenital;

    Left subclavian artery with Kommerrell’s diverticulum (white arrow) and left CCA as the second branch of arcus aorta (red arrow).

     
    Area of Interest: Thoracic wall; Imaging Technique: CT; Procedure: Computer Applications-3D; Special Focus: Congenital;

    The Kommerrell’s diverticulum.

     
    Area of Interest: Thorax; Imaging Technique: CT; Procedure: Computer Applications-3D; Special Focus: Congenital;
     
     
Right aortic arc.The descending aorta is on the right side of the vertebral column.
 
White arrow shows the origin of left CCA. Red arrow shows retroesophageal position of LCA and Kommerrell’s diverticulum.
 
Arrow shows the right located descending aorta.
 
The first branch is the brachiocephalic trunk. Arrow shows the origin of first branch.
 
The second branch is the left common carotid artery and the origin is marked with arrow.
 
Arrow shows the left subclavian artery.
 
Kommerrell’s diverticulum in the origin of the left subclavian artery.
 
Left subclavian artery with Kommerrell’s diverticulum (white arrow) and left CCA as the second branch of arcus aorta (red arrow).
 
The Kommerrell’s diverticulum.
 
 
 
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