ABSTRACT
Among embryonic aortic vascular malformations, persistence of a right aortic arch and aberrant left subclavian artery associated with a diverticulum of Kommerell is rare, and is estimated to occur in 0.1% of the general population. We report two cases of diverticulum of Kommerell in which tracheal compression due to the vascular ring induced respiratory symptoms such as asthmatic dyspnoea. This reminds us that at least a chest X-ray should be performed in newly diagnosed asthmatic patients, focusing on the trachea and upper mediastinum. In case of vascular abnormality, angiography and magnetic resonance are the best investigations to define the abnormal anatomy and guide surgery.
Subject(s)
Aorta, Thoracic/abnormalities , Asthma/diagnosis , Diverticulum/diagnosis , Adult , Aorta, Thoracic/surgery , Diagnosis, Differential , Diverticulum/congenital , Diverticulum/surgery , Female , Humans , Subclavian Artery/abnormalities , Subclavian Artery/transplantation , Tracheal Stenosis/etiologyABSTRACT
Desmoid tumor are rare connective tissue tumors currently considered as sarcoma of low grade malignancy. They are most often encountered in young women of child-bearing years. Abdominal localisation is the most frequent site. The main aim of treatment is to avoid recurrences. We report a case of desmoid tumor developing in the thoracic cage in a patient who had been operated on six years earlier for an epidermoid carcinoma of bronchus.
