1. A Rare Case of Submassive Pulmonary Embolism with a Right Aberrant Subclavian Artery and Thrombosed Kommerell Diverticulum
- Author
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Joji Morii, Masahiro Ogawa, Natsuki Onishi, Masayuki Nakamura, Tadaaki Arimura, Tomo Komaki, and Shin-ichiro Miura
- Subjects
Male ,medicine.medical_specialty ,Kommerell diverticulum ,pulmonary embolism ,medicine.drug_class ,Deep vein ,Cardiovascular Abnormalities ,Subclavian Artery ,Case Report ,030204 cardiovascular system & hematology ,Aberrant subclavian artery ,03 medical and health sciences ,0302 clinical medicine ,Rivaroxaban ,Internal Medicine ,medicine ,Humans ,Aged, 80 and over ,business.industry ,Anticoagulant ,Anticoagulants ,a thrombosed Kommerell diverticulum ,a strong hypercoagulable state ,Thrombosis ,General Medicine ,medicine.disease ,Pulmonary embolism ,Diverticulum ,medicine.anatomical_structure ,cardiovascular system ,030211 gastroenterology & hepatology ,Radiology ,business ,Tomography, X-Ray Computed ,Subclavian steal syndrome ,medicine.drug - Abstract
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.
- Published
- 2020