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 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.
Source: Vascular and Endovascular Surgery - Category: Surgery Authors: Tags: Case Reports Source Type: research