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Dispne ve Disfajinin Nadir Bir Nedeni Olarak Kommerell Divertikl [Respir Case Rep]
Respir Case Rep. 2022; 11(2): 93-97 | DOI: 10.5505/respircase.2022.17362

Dispne ve Disfajinin Nadir Bir Nedeni Olarak Kommerell Divertikl

Refika Hural1, Glsm Bingol3, Enis ztrk2, Ebru Serin4, Seda Tural Onur5, Emir zgr Bar kn3
1Dr. Burhan Nalbantolu Devlet Hastanesi, Kardiyoloji Blm, Lefkoa, Kbrs
2Bakrky Prof. Dr. Mazhar Osman Ruh Sal ve Sinir Hastalklar Eitim ve Aratrma Hastanesi, Radyoloji Anabilim Dal, stanbul
3Memorial Bahelievler Hastanesi, Kardiyoloji Blm, stanbul
4stanbul niversitesi Cerrahpaa, Kardiyoloji Enstits, Kardioloji Blm, stanbul
5Yedikule Gs Hastalklar ve Gs Cerrahisi Eitim Aratrma Hastanesi, Gs Hastalklar Blm, stanbul

Kommerell divertikl (KD), genellikle aberran bir sa subklavyen arterin (ARSA) veya aberran sol subklav-yen arterin (ALSA) knda bulunan aortik arkn distal ksmnn konjenital dilatasyonudur. Bu olguda, sa tarafl aortik ark (RAA) ile beraber ligamentum arteri-yozumu (LA) olan ve KD'den kaynaklanan ALSA's olan 40 yanda bir erkek hastay tanmladk. Polikli-niimize bavurmu bu hastann son bir yl iinde devam eden nefes darl ve yutma gl yks vard. Kliniimizde hastaya, ligamentum arteriyozum-lu RAA'da ALSA dzeyinde KD gstermek iin akci-er tomografisi ekildi. Semptomlar nedeniyle KD ve LAnn cerrahi rezeksiyonu planland. nen aortadan KD rezeke edildi ve ALSA sol karotid artere transfer edildi. Hasta ameliyattan 6 gn sonra komplikasyon-suz olarak taburcu edildi. Ameliyattan sonra hastann dispne ve disfajisi tamamen kayboldu.

Anahtar Kelimeler: Kommerell Divertikl, Konjenital Anomaliler, ARSA, ALSA

Kommerell Diverticulum: A Rare Cause of Dyspnea and Dysphagia

Refika Hural1, Glsm Bingol3, Enis ztrk2, Ebru Serin4, Seda Tural Onur5, Emir zgr Bar kn3
1Department of Cardiology, Dr. Burhan Nalbantolu State Hospital, Nicosia, Cyprus
2Bakrky Prof. Mazhar Osman Research and Training Hospital for Neurologic and Psychiatric Diseases, stanbul, Trkiye
3Department of Cardiology, Memorial Bahelievler Hospital, stanbul, Trkiye
4Department of Cardiology, stanbul University Cerrahpaa, Institude of Cardiology, stanbul, Trkiye
5Department of Chest Diseases, Yedikule Chest Diseases and T horacic Surgery Training and Research Hospital, stanbul, Trkiye

Kommerell's diverticulum (KD) is a congenital dilata-tion of the distal portion of the aortic arch that is usually located at the origin of an aberrant right subclavian artery (ARSA) or the aberrant left subclavi-an artery (ALSA). We describe here a 40-year-old male patient with a right-sided aortic arch (RAA) with ligamentum arteriosum (LA) and ALSA originating from the KD. The applied to our outpatient clinic with a history of dyspnea and dysphagia that had persist-ed for the last year. The patient underwent chest computed tomography (CT) in our clinic, revealing ALSA-level KD in RAA with ligamentum arteriosum. Surgical resection of KD and LA was planned based on the symptoms. NE was resected from the descend-ing aorta and ALSA was transferred to the left carotid artery, and the patient was discharged 6 days after the operation without complications. After the opera-tion, the patient's dyspnea and dysphagia subsided completely.

Keywords: Kommerell Diverticulum, Congenital Anomalies, ARSA, ALSA

Olgunun Grnt Kesitleri




Refika Hural, Glsm Bingol, Enis ztrk, Ebru Serin, Seda Tural Onur, Emir zgr Bar kn. Kommerell Diverticulum: A Rare Cause of Dyspnea and Dysphagia. Respir Case Rep. 2022; 11(2): 93-97

Sorumlu Yazar: Glsm Bingol, Trkiye
Makale Dili: ngilizce
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