Treatment of Symptomatic Mobile Aortic Thrombus

Martens, Thomas; Herzeele, Isabelle Van; Jacobs, Benjamin; Ryck, Frédéric De; Randon, Caren; Vermassen, Frank

doi:10.1080/00015458.2010.11680635

Cited by 21 publications

(25 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…7 Although there have been several reports on the use of preoperative TEE in the diagnosis of a thoracic aortic thrombus, the use of intraoperative TEE to guide surgical management of aortic thrombus has been limited to endovascular techniques. 1,2,6,8,9 In our case, the proximity of the stalk of the thrombus to the left subclavian artery made determining the area of placement of the cross-clamp critical. Because of the intimate relationship of the thoracic esophagus with the thoracic aorta, we were able to precisely pinpoint the location of the stalk; the surgeon was then easily able to palpate the TEE transducer in the esophagus and note its relationship to the thoracic aorta.…”

Section: Discussionmentioning

confidence: 97%

Transesophageal Echocardiography–Guided Aortic Thrombectomy in a Patient With a Mobile Thoracic Aortic Thrombus

Krishnamoorthy

Bhatt

Nicolau

et al. 2011

Semin Cardiothorac Vasc Anesth

View full text Add to dashboard Cite

Thoracic aortic thrombi are a well-known cause of distal embolic phenomena. There is a paucity of case reports because of the rarity of this condition, and thus clear management guidelines are lacking. The authors present a case of a mobile thoracic aortic thrombus managed by a surgical approach. This report demonstrates how intraoperative transesophageal echocardiography (TEE) proved to be critical in guiding surgical management. The utility of TEE in the diagnosis and management of aortic thrombi is also discussed. In addition, currently reported management strategies for this complex condition are reviewed.

show abstract

Section: Discussionmentioning

confidence: 97%

Transesophageal Echocardiography–Guided Aortic Thrombectomy in a Patient With a Mobile Thoracic Aortic Thrombus

Krishnamoorthy

Bhatt

Nicolau

et al. 2011

Semin Cardiothorac Vasc Anesth

View full text Add to dashboard Cite

show abstract

“…There are however few case reports of success with endovascular treatment of mobile aortic thrombus with exclusion of the aortic thrombus from the aortic lumen in the abdominal aorta [6, 16], with even fewer reporting success with thoracic thrombi [17], that is, TEVAR.…”

Section: Discussionmentioning

confidence: 99%

Thoracic Endovascular Aortic Repair in a Patient with Mobile Aortic Thrombosis

Lohrmann

Peters²

2014

Case Reports in Vascular Medicine

View full text Add to dashboard Cite

A 58-year-old female presented with acute arterial insufficiency to her left leg. Following cardiovascular evaluation using multimodality imaging, it was discovered that she had mobile thoracic thrombi overlying a normal descending thoracic aorta which had also caused a splenic infarction. This patient was treated with unfractionated heparin for three days and underwent subsequent thoracic endovascular aortic repair (TEVAR) uneventfully with no subsequent complications at one-year followup. This case highlights the diagnostic and therapeutic challenges in treating patients with this uncommon challenging clinical scenario.

show abstract

“…This report shows that therapeutic strategies are influenced by the localisation of the thrombus, the co-morbidities of the patient and the physician' s preferences. Endovascular treatment in combination with high dose statins has become the preferred treatment although long-term data are lacking [ 115 ].…”

Section: Thrombolysismentioning

confidence: 99%