{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T13:23:13Z","timestamp":1780579393541,"version":"3.54.1"},"reference-count":7,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Med Insights Case Rep"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:p>A 22-year-old right-handed male presented to the Sports Medicine clinic with concerns of upper extremity muscle asymmetry. Physical examination showed gross muscular asymmetry when comparing the left upper extremity to the right. Radial pulses were 2\u2009+\u2009on the right and 1\u2009+\u2009on the left. Due to concern for vascular anomaly, computed tomography angiography was performed which revealed a right-sided aortic arch with Kommerell\u2019s diverticulum and aberrant left subclavian artery. The patient underwent a left carotid subclavian bypass successfully, but his recovery was complicated by an upper extremity deep venous thrombosis. He is currently on novel anticoagulant but has been released to normal activities and doing well. Kommerell\u2019s Diverticulum (KD) is a rare congenital anomaly caused by a persistent remnant of the fourth primitive dorsal arch during embryological development. Although the prevalence of KD is rare, it is important to identify and diagnose this condition to provide definitive care.<\/jats:p>","DOI":"10.1177\/11795476221087930","type":"journal-article","created":{"date-parts":[[2022,3,30]],"date-time":"2022-03-30T05:31:55Z","timestamp":1648618315000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["No Pain and No Gain: Kommerell\u2019s Diverticulum with a Right-Sided Aortic Arch, and an Aberrant Left Subclavian Artery Presenting in a Body Builder with Muscle Bulk Imbalance"],"prefix":"10.1177","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0429-6980","authenticated-orcid":false,"given":"Scott","family":"Meester","sequence":"first","affiliation":[{"name":"West Virginia University Medicine, Morgantown, WV, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diego","family":"Riveros","sequence":"additional","affiliation":[{"name":"West Virginia University Medicine, Morgantown, WV, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aaron J","family":"Monseau","sequence":"additional","affiliation":[{"name":"West Virginia University Medicine, Morgantown, WV, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brenden J","family":"Balcik","sequence":"additional","affiliation":[{"name":"West Virginia University Medicine, Morgantown, WV, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,3,30]]},"reference":[{"key":"bibr1-11795476221087930","doi-asserted-by":"publisher","DOI":"10.1007\/s11748-015-0521-3"},{"key":"bibr2-11795476221087930","doi-asserted-by":"publisher","DOI":"10.1016\/j.carj.2014.05.006"},{"key":"bibr3-11795476221087930","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2018-227682"},{"key":"bibr4-11795476221087930","volume":"6","author":"Robles TA","year":"2019","journal-title":"Glob Pediatr Health"},{"key":"bibr5-11795476221087930","doi-asserted-by":"publisher","DOI":"10.1007\/s00380-017-1056-6"},{"key":"bibr6-11795476221087930","volume":"72","author":"Bhatt TC","year":"2016","journal-title":"J Med Imaging"},{"key":"bibr7-11795476221087930","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2019.04.122"}],"container-title":["Clinical Medicine Insights: Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11795476221087930","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/11795476221087930","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11795476221087930","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T09:14:03Z","timestamp":1777454043000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/11795476221087930"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1]]},"references-count":7,"alternative-id":["10.1177\/11795476221087930"],"URL":"https:\/\/doi.org\/10.1177\/11795476221087930","relation":{},"ISSN":["1179-5476","1179-5476"],"issn-type":[{"value":"1179-5476","type":"print"},{"value":"1179-5476","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,1]]},"article-number":"11795476221087930"}}