대동맥 박리가 동반된 코머렐 게실(Kommerell’s diverticulum) 환자 1례A Case of Kommerell’s Diverticulum with Aortic Dissection
- Other Titles
- A Case of Kommerell’s Diverticulum with Aortic Dissection
- Authors
- 박준범
- Issue Date
- 2016
- Publisher
- 대한응급의학회
- Keywords
- Aberrant subclavian artery; Aortic aneurysm; Aortic dissection
- Citation
- 대한응급의학회지, v.27, no.4, pp.384 - 387
- Journal Title
- 대한응급의학회지
- Volume
- 27
- Number
- 4
- Start Page
- 384
- End Page
- 387
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/9708
- ISSN
- 1226-4334
- Abstract
- 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.
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