Rare but relevant: Kommerell diverticulum and the weight of an anomaly – case report
References
- Liu C, Wang C, Bao J, Liu M, Liu J, Cao L, et al. Incidental Kommerell diverticulum with aberrant left subclavian artery and right aortic arch: a single center observational study. Quant Imaging Med Surg. 2O25;15(6):5621–5634. doi: 10.21037/qims-2024-2547
- Emad MD, Ibrahim F, Youssef G, Makoto A. Diverticulum of Kommerell: a review of a series and a report of a case with tracheal deviation compromising single lung ventilation. Anesth Analg. 2002;94(6):1462–1464. doi: 10.1213/00000539-200206000-00015
- Tanaka A, Milner R, Ota T. Kommerell’s diverticulum in the current era: a comprehensive review. Gen Thorac Cardiovasc Surg. 2015;63(5):245–259. doi: 10.1007/s11748-015-0521-3
- Shinjo H, Satokawa H, Wakamatsu H, Yokoyama H. A case of Kommerell diverticulum in adolescence presented with dysphagia. Surg Case Rep. 2024;10(1):104. doi: 10.1186/s40792-024-01904-y
- Molz G, Burri B. Aberrant subclavian artery (Arteria lusoria): sex differences in the prevalence of various forms of the malformation. Virchows Archiv A Pathol Anat Histopathol. 1978;380:303–315. doi: 10.1007/BF00431315
- Salomonowitz E, Edwards JE, Hunter DW, Castaneda-Zuniga WR, Lund G, Cragg AH, et al. The three types of aortic diverticula. Am J Roentgenol. 1984;142(4):673-679. doi: 10.2214/ajr.142.4.673
- Hale BW, Lu JC, Romano JC, Lowery R, Yu S, Norris MD. Kommerell diverticulum: distinctions between arch side and evaluation of morphology, size, and risk. Ann Thorac Surg. 2022;114(3):848-856. doi: 10.1016/j.athoracsur.2021.06.035
- Summa CH, DeMaioribus CA, Swink D, AbouAyash J, Nikam S, Song B, et al. Hybrid repair of Kommerell’s diverticulum with aberrant subclavian artery. J Vasc Surg Cases Innov Tech. 2026;12(2):102129. doi: 10.1016/j.jvscit.2026.102129
- Sun Z, Luo B, Qin J, Xin Z, Fan H, Liu S. Endovascular repair of the right arch and right descending with Kommerell diverticulum: a case report. J Cardiothorac Surg. 2025;21(1):39. doi: 10.1186/s13019-025-03716-z
- Gunga Z, Rousseau L, Wolff M, Rigollot A, Nowacka A, Dulgorov F, et al. Case report: unlocking arteria Lusoria challenges: sternotomy’s role in a single-stage aneurysm repair and artery realignment. Front Cardiovasc Med. 2025;12:1557293. doi: 10.3389/fcvm.2025.1557293
- Yokawa K, Nakagawa T, Kusakizako M, Tanaka Y, Higuma T, Yoshida K, et al. Translocation of aberrant left subclavian artery and resection of Kommerell’s diverticulum by total arch replacement via median sternotomy. Gen Thorac Cardiovasc Surg Cases. 2025;4(1):12. doi: 10.1186/s44215-025-00199-1
- Sultan S, Acharya Y, Ibrahim R, Parodi JC, Wijns W, Soliman O. Endovascular management of a giant aortic arch aneurysm diverticulum: a case report. Eur Heart J Case Rep. 2025;9(2):ytaf054. doi: 10.1093/ehjcr/ytaf054
- Nocera A, Nachira D, Cancellieri A, Margaritora S, Congedo MT. A unique association of right-sided aortic arch with Kommerell’s diverticulum, diffuse idiopathic pulmonary neuroendocrine cell hyperplasia, and typical carcinoid: a case report. Cureus. 2024;16(8):e68164. doi: 10.7759/cureus.68164
- Overbeek R, Behrens A, Zopfs D, Mylonas S, Dorweiler B, Dusse F, et al. Weaning failure due to isolated residual diaphragmatic paralysis after cervical spinal cord ischemia following aortic surgery-a case report. BMC Anesthesiol. 2024;24(1):241. doi: 10.1186/s12871-024-02626-2
- Georgakarakos E, Karangelis D, Stylianou C, Karaolanis GI, Triantafyllou N, Fiska A. An asymptomatic double aortic arch with separate right vertebral artery and left subclavian artery originating from Kommerell diverticulum combined with congenital asplenia and absence of celiac trunk. Folia Morphol (Warsz). 2024;83(3):727–733. doi: 10.5603/fm.96447
- Nishio H, Iwakura A, Takahashi N, Aida K, Inoue K, Takai F, et al. Right carotid artery origin compression caused by endovascular repair for Kommerell diverticulum associated with a right-sided aortic arch. Ann Vasc Dis. 2024;17(2):201–204. doi: 10.3400/avd.cr.24-00002
- Kavaliunaite E, Kjeldsen BJ, Midtgaard A, Akgul C. Complex hybrid repair of an aberrant right subclavian artery with rapidly developing Kommerell’s diverticulum. EJVES Vasc Forum. 2023;61:12–15. doi: 10.1016/j.ejvsvf.2023.11.003
- Akilu W, Feng Y, Zhang XX, Li SL, Ma XT, Hu M, et al. Carotid-subclavian bypass and endovascular aortic repair of Kommerell’s diverticulum with aberrant left subclavian artery: a case report. World J Clin Cases. 2023;11(33):8038–8043. doi: 10.12998/wjcc.v11.i33.8038
- Yabu N, Minami T, Izubuchi R, Kojima T, Yamazaki I. Total arch replacement with frozen elephant trunk technique for Kommerell’s diverticulum with a right-sided aortic arch and aberrant left subclavian artery. J Cardiothorac Surg. 2023;18(1):317. doi: 10.1186/s13019-023-02425-9
- Iwanaga S, Inomata H, Tabuchi M, Sasaki R, Yamaguchi N, Nakao K. Five cases of endoscopically noted esophageal stenosis due to abnormal aortic angiogenesis. Clin J Gastroenterol. 2023;16(3):325–329. doi: 10.1007/s12328-023-01773-2
- Kanwal D, Khalil S, Attia K, Fam M, Arakkal M. Kommerell’s diverticulum with right-sided aortic arch and anomalous origin of neck vessels: uncommon imaging finding in neonate with cyanosis. BJR Case Rep. 2021;7(4):20200173. doi: 10.1259/bjrcr.20200173
- Backer CL, Russell HM, Wurlitzer KC, Rastatter JC, Rigsby CK. Primary resection of Kommerell diverticulum and left subclavian artery transfer. Ann Thorac Surg. 2012;94:1612–1617. doi: 10.1016/j.athoracsur.2012.05.101
- Barazangi N, Wintermark M, Lease K, Rao R, Smith W, Josephson SA. Comparison of computed tomography angiography and transesophageal echocardiography for evaluating aortic arch disease. J Stroke Cerebrovasc Dis. 2011;20(5):436–442. doi: 10.1016/j.jstrokecerebrovasdis.2010.02.016
- Lee SJ, Lee SH, Kim JH, Lee H, Lee DJ, Kim JH, et al. A case of Kommerell’s diverticulum initially detected by transesophageal echocardiography. J Cardiovasc Ultrasound. 2013;21(1):30–32. doi: 10.4250/jcu.2013.21.1.30
- Nasser M, Petrocheli BB, Felippe TKS, Isola B, Pereira BCDS, Sartoreli ALC, et al. Aberrant right subclavian artery: case report and literature review. J Vasc Bras. 2023;22:e20210151. doi: 10.1590/1677-5449.202101512
- van Rosendael PJ, Stöger JL, Kiès P, Vliegen HW, Hazekamp MG, Koolbergen DR, et al. The clinical spectrum of Kommerell’s diverticulum in adults with a right-sided aortic arch: a case series and literature overview. J Cardiovasc Dev Dis. 2021;8(3):25. doi: 10.3390/jcdd8030025
- Morishita A, Tomioka H, Katahira S, Hoshino T, Hanzawa K. Surgical treatment for Kommerell’s diverticulum associated with a right-sided aortic arch and an aberrant left subclavian artery: endovascular or hybrid. Ann Vasc Dis. 2019;12(2):228–232. doi: 10.3400/avd.cr.18-00170
- Tsukui H, Aomi S, Yamazaki K. Surgical strategy for Kommerell’s diverticulum: total arch replacement. J Thorac Cardiovasc Surg. 2014;148:1423–1427. doi: 10.1016/j.jtcvs.2013.11.026
- Kouchoukos NT, Masetti P. Aberrant subclavian artery and Kommerell aneurysm: surgical treatment with a standard approach. J Thorac Cardiovasc Surg. 2007;133:888–892. doi: 10.1016/j.jtcvs.2006.12.005
- Idrees J, Keshavamurthy S, Subramanian S, Clair D, Svensson L, Rosseli E. Hybrid repair of Kommerell diverticulum. J Thorac Cardiovasc Surg. 2014;147:973–976. doi: 10.1016/j.jtcvs.2013.02.063
Language: English
Published on: May 11, 2026
Published by: Romanian Society of Cardiology
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year
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© 2026 Alexandru-George Druică, Radu Andy Sascău, Manuela Ursaru, Laurenţiu Şorodoc, Cătălina Lionte, published by Romanian Society of Cardiology
This work is licensed under the Creative Commons Attribution 4.0 License.