Endovascular Management of a Mobile Thoracic Aortic Thrombus Following Recurrent Distal Thromboembolism: A Case Report and Literature Review

Sources of lower extremity and visceral arterial thromboembolism most commonly include the heart and proximal aneurysmal disease. Infrequently, further workup of “cryptogenic” emboli will reveal a mural atheroma or thrombus of the descending thoracic aorta. Without prospective data, anticoagulation...

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Bibliographic Details
Published in:Vascular and endovascular surgery 2014-04, Vol.48 (3), p.246-250
Main Authors: Scott, Daniel J., White, Joseph M., Arthurs, Zachary M.
Format: Article
Language:English
Subjects:
Aged
Aorta, Thoracic - surgery
Aortic Diseases - complications
Aortic Diseases - diagnosis
Aortic Diseases - surgery
Aortography - methods
Blood Vessel Prosthesis
Blood Vessel Prosthesis Implantation - instrumentation
Echocardiography, Transesophageal
Endovascular Procedures - instrumentation
Female
Femoral Artery - diagnostic imaging
Humans
Mesenteric Artery, Superior - diagnostic imaging
Mesenteric Vascular Occlusion - diagnosis
Mesenteric Vascular Occlusion - etiology
Mesenteric Vascular Occlusion - therapy
Peripheral Arterial Disease - diagnosis
Peripheral Arterial Disease - etiology
Peripheral Arterial Disease - therapy
Recurrence
Stents
Thrombectomy
Thromboembolism - diagnosis
Thromboembolism - etiology
Thromboembolism - therapy
Thrombosis - complications
Thrombosis - diagnosis
Thrombosis - surgery
Tomography, X-Ray Computed
Treatment Outcome
Citations: Items that this one cites
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Description
Summary:Sources of lower extremity and visceral arterial thromboembolism most commonly include the heart and proximal aneurysmal disease. Infrequently, further workup of “cryptogenic” emboli will reveal a mural atheroma or thrombus of the descending thoracic aorta. Without prospective data, anticoagulation and open surgical thrombectomy with or without aortic replacement have been the standard approach. Presented is a case of a floating mural thrombus in the setting of superior mesenteric and femoral arterial thromboembolism that was effectively treated with endovascular stent graft exclusion.
ISSN:1538-5744
1938-9116
DOI:10.1177/1538574413513845