A Rare Case of Submassive Pulmonary Embolism with a Right Aberrant Subclavian Artery and Thrombosed Kommerell Diverticulum

An 81-year-old man presented with shortness of breath and was referred to our hospital with suspected acute pulmonary embolism. Enhanced computed tomography revealed a right aberrant subclavian artery with a thrombosed Kommerell diverticulum (KD), as well as deep vein thrombosis in the left leg and...

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Autores principales: Onishi, Natsuki, Komaki, Tomo, Nakamura, Masayuki, Arimura, Tadaaki, Morii, Joji, Ogawa, Masahiro, Miura, Shin-ichiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7474989/
https://www.ncbi.nlm.nih.gov/pubmed/32321896
http://dx.doi.org/10.2169/internalmedicine.4495-20
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author Onishi, Natsuki
Komaki, Tomo
Nakamura, Masayuki
Arimura, Tadaaki
Morii, Joji
Ogawa, Masahiro
Miura, Shin-ichiro
author_facet Onishi, Natsuki
Komaki, Tomo
Nakamura, Masayuki
Arimura, Tadaaki
Morii, Joji
Ogawa, Masahiro
Miura, Shin-ichiro
author_sort Onishi, Natsuki
collection PubMed
description An 81-year-old man presented with shortness of breath and was referred to our hospital with suspected acute pulmonary embolism. Enhanced computed tomography revealed a right aberrant subclavian artery with a thrombosed Kommerell diverticulum (KD), as well as deep vein thrombosis in the left leg and bilateral pulmonary artery thrombosis. Thrombosis in the KD disappeared after one month of anticoagulation treatment with rivaroxaban. Thrombosis of a KD is a rare condition that may cause distal emboli and subclavian steal syndrome, although this syndrome was not present in this case. Rivaroxaban is an effective anticoagulant for treating thrombosis of a KD.
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spelling pubmed-74749892020-09-18 A Rare Case of Submassive Pulmonary Embolism with a Right Aberrant Subclavian Artery and Thrombosed Kommerell Diverticulum Onishi, Natsuki Komaki, Tomo Nakamura, Masayuki Arimura, Tadaaki Morii, Joji Ogawa, Masahiro Miura, Shin-ichiro Intern Med Case Report An 81-year-old man presented with shortness of breath and was referred to our hospital with suspected acute pulmonary embolism. Enhanced computed tomography revealed a right aberrant subclavian artery with a thrombosed Kommerell diverticulum (KD), as well as deep vein thrombosis in the left leg and bilateral pulmonary artery thrombosis. Thrombosis in the KD disappeared after one month of anticoagulation treatment with rivaroxaban. Thrombosis of a KD is a rare condition that may cause distal emboli and subclavian steal syndrome, although this syndrome was not present in this case. Rivaroxaban is an effective anticoagulant for treating thrombosis of a KD. The Japanese Society of Internal Medicine 2020-04-23 2020-08-01 /pmc/articles/PMC7474989/ /pubmed/32321896 http://dx.doi.org/10.2169/internalmedicine.4495-20 Text en Copyright © 2020 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Onishi, Natsuki
Komaki, Tomo
Nakamura, Masayuki
Arimura, Tadaaki
Morii, Joji
Ogawa, Masahiro
Miura, Shin-ichiro
A Rare Case of Submassive Pulmonary Embolism with a Right Aberrant Subclavian Artery and Thrombosed Kommerell Diverticulum
title A Rare Case of Submassive Pulmonary Embolism with a Right Aberrant Subclavian Artery and Thrombosed Kommerell Diverticulum
title_full A Rare Case of Submassive Pulmonary Embolism with a Right Aberrant Subclavian Artery and Thrombosed Kommerell Diverticulum
title_fullStr A Rare Case of Submassive Pulmonary Embolism with a Right Aberrant Subclavian Artery and Thrombosed Kommerell Diverticulum
title_full_unstemmed A Rare Case of Submassive Pulmonary Embolism with a Right Aberrant Subclavian Artery and Thrombosed Kommerell Diverticulum
title_short A Rare Case of Submassive Pulmonary Embolism with a Right Aberrant Subclavian Artery and Thrombosed Kommerell Diverticulum
title_sort rare case of submassive pulmonary embolism with a right aberrant subclavian artery and thrombosed kommerell diverticulum
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7474989/
https://www.ncbi.nlm.nih.gov/pubmed/32321896
http://dx.doi.org/10.2169/internalmedicine.4495-20
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