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Thrombosis of Kommerell’s diverticulum with subclavian steal phenomenon in a patient with non-small cell lung carcinoma under chemotherapy  Lorenzo Faggioni,

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Presentation on theme: "Thrombosis of Kommerell’s diverticulum with subclavian steal phenomenon in a patient with non-small cell lung carcinoma under chemotherapy  Lorenzo Faggioni,"— Presentation transcript:

1 Thrombosis of Kommerell’s diverticulum with subclavian steal phenomenon in a patient with non-small cell lung carcinoma under chemotherapy  Lorenzo Faggioni, Michela Gabelloni, Vinicio Napoli, Francesco Iorio, Antonio Chella, Davide Caramella  European Journal of Radiology Open  Volume 3, Pages (January 2016) DOI: /j.ejro Copyright © 2016 The Author(s) Terms and Conditions

2 Fig. 1 Baseline MDCT examination. (a) Axial source image, (b, c) Volume Rendering and (d) Curved Planar views show patent KD (*) associated with thrombosed prevertebral right lusory artery (RLA), autonomous origin of the left vertebral artery (LVA) from the aortic arch, and origin of both common carotid arteries from a short common trunk (CT). The proximal portion of the right vertebral artery (RVA) is patent, as well as the RLA distal to it. LSA=left subclavian artery. European Journal of Radiology Open 2016 3, DOI: ( /j.ejro ) Copyright © 2016 The Author(s) Terms and Conditions

3 Fig. 2 Two-month follow-up MDCT examination. (a) Axial source image, (b) Volume Rendering and (c) Curved Planar views show complete thrombosis of the KD extending from the prevertebral RLA. As at baseline, the proximal portion of the RVA and the RLA distal to it are patent. European Journal of Radiology Open 2016 3, DOI: ( /j.ejro ) Copyright © 2016 The Author(s) Terms and Conditions

4 Fig. 3 Doppler ultrasound examination obtained with a transoccipital approach shows reversed flow in the RVA compared with the LVA. European Journal of Radiology Open 2016 3, DOI: ( /j.ejro ) Copyright © 2016 The Author(s) Terms and Conditions

5 Fig. 4 Embryological development of the aorta and the supra-aortic vessels. (*) intersegmental artery. European Journal of Radiology Open 2016 3, DOI: ( /j.ejro ) Copyright © 2016 The Author(s) Terms and Conditions

6 Fig. 5 Illustration of Edwards’ hypothesis. Ao=aorta, RCCA=right common carotid artery, LCCA=left common carotid artery, RSA=right subclavian artery, RPA=right pulmonary artery, LPA=left pulmonary artery, RDA=right ductus arteriosus, LDA=left ductus arteriosus. European Journal of Radiology Open 2016 3, DOI: ( /j.ejro ) Copyright © 2016 The Author(s) Terms and Conditions

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