主动脉Kommerell憩室数字减影造影分析及文献复习

DSA for Aortic Kommerell's Diverticulum and literatures review

目的总结报道主动脉Kommerell憩室(KD)。方法回顾性分析我科动脉弓数字减影造影(DSA)发现的7例无压迫症状主动脉KD病例。结果本组仅1例Ⅱ型右位主动脉,并弓上分支变异,LSCA最后发自KD;有2例左主动脉,弓上分支为正常型,LSCA最后发自KD,其中1例并主动脉弓狭窄未见文献报道;1例左主动脉,弓上分支4干,LSCA发自KD;3例左主动脉弓,弓上分支变异,RSCA均为最后发自KD。结论KD并非罕见病例广大临床医生应引起重视。

Objective To report the Kommerell＇s diverticulum found in the DSA.Method Seven cases were analyzed with asymptomatic Kommerell＇s diverticulum of digital subtraction angiography（DSA）.Result One case had typeⅡright aortic arch,and the left subclavian artery（LSCA） arose from a diverticulum as the last branch of the right aortic arch（AA）.2 cases had left aortic arch,the LSCA arose from a diverticulum as the last branch of the AA,one had a stenosis AA.1 case had four branches of the left AA,the LSCA arose from a diverticulum as the last branch of the AA.3 cases had variation branches of the left AA,the right subclavian artery（RSCA） arose from a diverticulum as the last branch of the left AA.Conclusion KD is not rare aortic arch anomaly.We must increase our attention about it.