Leriche's Syndrome and Thoracic Aortic Mural Thrombus

Montero-Tinnirello, Javier; Vilar-Freire, Manuel; Sánchez-Gracián, C. Delgado

doi:10.1016/j.rec.2011.01.002

Cited by 2 publications

(2 citation statements)

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“…It is rare to see occlusion of the aorta superior to or immediately inferior to the renal arteries (Brewster, 1997). In an unusual case reported by Montero-Tinnirello et al (2012), imaging in a 63-year-old revealed a thoracic aortic mural thrombus, which was deemed the source of occlusion. Computed tomography angiogram (CTA) showed diffuse artherosclerotic lesions involving the infrarenal aorta and common iliac arteries with concurrent thrombosis of the aortic arch.…”

Section: Exceptions To the General Classificationmentioning

confidence: 95%

Anatomical significance in aortoiliac occlusive disease

et al. 2014

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Aortoiliac occlusive disease is a subset of peripheral arterial disease involving an atheromatous occlusion of the infrarenal aorta, common iliac arteries, or both. The disease, as it is known today, was described by the French surgeon René Leriche as a thrombotic occlusion of the end of the aorta. Leriche successfully linked the anatomic location of the occlusion with a unique triad of symptoms, including claudication, impotence, and decreased peripheral pulses. The anatomical location of the atheromatous lesions also has a direct influence on classification of the disease, as well as choice of treatment modality. Considering its impact on diagnosis and treatment, we aimed to provide a detailed understanding of the anatomical structures involved in aortoiliac occlusive disease. Familiarity with these structures will aid the physician in interpretation of radiologic images and surgical planning.

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Section: Exceptions To the General Classificationmentioning

confidence: 95%

Anatomical significance in aortoiliac occlusive disease

et al. 2014

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“…[2][3][4][5][6] Recent developments in diagnostic imaging have contributed significantly to the accurate diagnosis of various aortic pathologies such as DTAT, including echocardiography, computed tomography (CT), angiography, and magnetic resonance imaging (MRI). [7][8][9][10][11] Although thrombi in the ascending aorta, aortic arch, and abdominal aorta have all been previously described, reported thoracic thrombi were most commonly (38.0%) located in the descending thoracic aorta. 12 Currently, there are no established guidelines on the management of DTAT.…”

Section: Introductionmentioning

confidence: 99%

Management Strategies for Descending Thoracic Aortic Thrombus: A Review of the Literature

Nguyen

Vervoort

et al. 2022

Innovations�(Phila)

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Descending thoracic aortic thrombus (DTAT) is an under-recognized source of systemic emboli with potential catastrophic consequences. Imaging modalities such as echocardiography, computed tomography, magnetic resonance imaging, and angiography can help identify and characterize the extent of embolic events. Established guidelines regarding the management of DTAT are currently lacking. Multiple treatment modalities are available; however, the effectiveness of each approach remains to be determined. In this study, we performed a review to examine the clinical presentation, diagnostic methods and findings, and outcomes of various treatment options for patients with DTAT. Medical management is the least invasive and most frequently chosen initial approach, offering a high reported success rate, whereas endovascular therapy can have a role in thrombus exclusion should conservative management fail.

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Leriche's Syndrome and Thoracic Aortic Mural Thrombus

Cited by 2 publications

References 0 publications

Anatomical significance in aortoiliac occlusive disease

Anatomical significance in aortoiliac occlusive disease

Management Strategies for Descending Thoracic Aortic Thrombus: A Review of the Literature

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