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

被引：26

作者：

Scott, Daniel J. ^{[1
]}

White, Joseph M. ^{[1
]}

Arthurs, Zachary M. ^{[1
]}

机构：

[1] San Antonio Mil Med Ctr, Dept Vasc Surg, Ft Sam Houston, TX 78234 USA

来源：

VASCULAR AND ENDOVASCULAR SURGERY | 2014年 / 48卷 / 03期

关键词：

stent graft; thoracic aorta; embolism; mobile thrombus; atheroma; floating thrombus; endovascular; SURGICAL-TREATMENT; SARCOMA; LESIONS; ARCH;

D O I：

10.1177/1538574413513845

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

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.

引用

页码：246 / 250

页数：5

共 22 条

[1] Primary tumors of the thoracoabdominal aorta:: Surgical treatment of 5 patients and review of the literature [J].

Chiche, L ;

Mongrédien, B ;

Brocheriou, I ;

Kieffer, E .

ANNALS OF VASCULAR SURGERY, 2003, 17 (04) :354-364

[2] Mobile thrombus of the thoracic aorta: Diagnosis and treatment in 9 cases [J].

Choukroun, EM ;

Labrousse, LM ;

Madonna, FP ;

Deville, C .

ANNALS OF VASCULAR SURGERY, 2002, 16 (06) :714-722

[3] Transesophageal echo-guided endovascular exclusion of thoracic aortic mobile thrombi [J].

Criado, E ;

Wall, P ;

Lucas, P ;

Gasparis, A ;

Proffit, T ;

Ricotta, J .

JOURNAL OF VASCULAR SURGERY, 2004, 39 (01) :238-242

[4] Endovascular stent graft for symptomatic mobile thrombus of the thoracic aorta [J].

Fueglistaler, P ;

Wolff, T ;

Guerke, L ;

Stierli, P ;

Eugster, T .

JOURNAL OF VASCULAR SURGERY, 2005, 42 (04) :781-783

[5] Endovascular Treatment of Thoracic Aortic Floating Thrombus in Patients Presenting with Acute Lower Limb Ischemia [J].

Giovanni, Nano ;

Daniela, Mazzaccaro ;

Giovanni, Malacrida ;

Teresa, Occhiuto Maria ;

Silvia, Stegher ;

Davide, Foresti ;

Giuseppe, Tealdi Domenico .

INTERNATIONAL JOURNAL OF VASCULAR MEDICINE, 2011, 2011

[6] Surgical treatment of nonaneurysmal aortic arch lesions in patients with systemic embolization [J].

Gouëffic, Y ;

Chaillou, P ;

Pillet, JC ;

Duveau, D ;

Patra, P .

JOURNAL OF VASCULAR SURGERY, 2002, 36 (06) :1186-1193

[7] Aortic wall sarcoma with tumor emboli and peripheral ischemia - Case report with review of literature [J].

Khan, A ;

Jilani, F ;

Kaye, S ;

Greenberg, BR .

AMERICAN JOURNAL OF CLINICAL ONCOLOGY-CANCER CLINICAL TRIALS, 1997, 20 (01) :73-77

[8]

Laperche T, 1997, CIRCULATION, V96, P288

[9] UNSUSPECTED ABDOMINAL AORTIC ANEURYSMS AS CAUSE OF PERIPHERAL ARTERIAL OCCLUSIVE DISEASE [J].

LORD, JW ;

ROSSI, G ;

DALIANA, M ;

DRAGO, JR ;

SCHWARTZ, AM .

ANNALS OF SURGERY, 1973, 177 (06) :767-771

[10] Endovascular Therapy of a Symptomatic Mobile Thrombus of the Thoracic Aorta [J].

Luebke, T. ;

Aleksic, M. ;

Brunkwall, J. .

EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY, 2008, 36 (05) :550-552

← 1 2 3 →