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Journal of The Korean Society of Emergency Medicine 2016;27(4): 384-387. |
| 대동맥 박리가 동반된 코머렐 게실(Kommerell’s diverticulum) 환자 1례 |
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| 순천향대학교 의과대학 응급의학과 |
| A Case of Kommerell’s Diverticulum with Aortic Dissection |
| Joonbum Park |
| Department of Emergency Medicine, Soonchunhyang University, College of Medicine, Seoul, Korea |
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Received: May 12, 2016; Revised: May 16, 2016 Accepted: June 20, 2016. Published online: August 31, 2016. |
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| ABSTRACT |
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In 1936, a German radiologist, Burckhard Kommerell, reported a rare variant of thoracic aortic aneurysm named Kommerell’s diverticulum which may be accompanied by an aberrant origin of the right subclavian artery. The most common type of Kommerell’s diverticulum is the right-sided aortic arch, with the aberrant left subclavian artery. Kommerell’s diverticulum is associated with a high risk of early rupture, and 20% is accompanied with aortic dissection. However, because Kommerell’s diverticulum is rare, it is highly probably for emergency physicians to overlook the abnormal findings from a chest X-ray or dismiss the potential risk of early rupture and aortic dissection. Symptoms of Kommerell’s diverticulum are not specific, like chest pain, dyspnea, swallowing difficulty, and so on. Therefore, it is necessary for emergency physicians to detect Kommerell’s diverticulum and avoid premature discharge without consulting a thoracic surgeon for further treatment. |
| Key words:
Aberrant subclavian artery, Aortic aneurysm, Aortic dissection |
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