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Case Reports in Cardiology
Volume 2019, Article ID 8132578, 6 pages
https://doi.org/10.1155/2019/8132578
Case Report

Peripherally Embolizing Aortic Thrombus: The Work-Up, Management, and Outcome of Primary Aortic Thrombus

1Department of Internal Medicine, Beaumont Health System, Royal Oak, MI, USA
2Michigan State University College of Osteopathic Medicine, Lansing, MI, USA
3Department of Cardiovascular Medicine, Beaumont Health System, Royal Oak, MI, USA

Correspondence should be addressed to Ramy Mando; gro.tnomuaeb@odnam.ymar

Received 20 March 2019; Accepted 13 June 2019; Published 2 July 2019

Academic Editor: Ming-Ren Chen

Copyright © 2019 Ramy Mando et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Linked References

  1. T. Laperche, C. Laurian, R. Roudaut, and P. G. Steg, “Mobile thromboses of the aortic arch without aortic debris. A transesophageal echocardiographic finding associated with unexplained arterial embolism,” Circulation, vol. 96, no. 1, pp. 288–294, 1997. View at Publisher · View at Google Scholar · View at Scopus
  2. N. Tsilimparis, U. Hanack, G. Pisimisis, S. Yousefi, C. Wintzer, and R. I. Ruckert, “Thrombus in the non-aneurysmal, non-atherosclerotic descending thoracic aorta—an unusual source of arterial embolism,” European Journal of Vascular and Endovascular Surgery, vol. 41, no. 4, pp. 450–457, 2011. View at Publisher · View at Google Scholar · View at Scopus
  3. H. Verma, N. Meda, S. Vora, R. K. George, and R. K. Tripathi, “Contemporary management of symptomatic primary aortic mural thrombus,” Journal of Vascular Surgery, vol. 60, no. 6, pp. 1524–1534, 2014. View at Publisher · View at Google Scholar · View at Scopus
  4. M. E. Morris, E. L. Galinanes, W. K. Nichols, C. B. Ross, and J. Chauvupun, “Thoracic mural thrombi: a case series and literature review,” Annals of Vascular Surgery, vol. 25, no. 8, pp. 1140.e17–1140.e21, 2011. View at Publisher · View at Google Scholar · View at Scopus
  5. Z. Y. Fayad, E. Semaan, B. Fahoum, M. Briggs, A. Tortolani, and M. D’Ayala, “Aortic mural thrombus in the normal or minimally atherosclerotic aorta,” Annals of Vascular Surgery, vol. 27, no. 3, pp. 282–290, 2013. View at Publisher · View at Google Scholar · View at Scopus
  6. A. Maloberti, F. Oliva, B. De Chiara, and C. Giannattasio, “Asymptomatic aortic mural thrombus in a minimally atherosclerotic vessel,” Interactive Cardiovascular and Thoracic Surgery, vol. 22, no. 3, pp. 371–373, 2016. View at Publisher · View at Google Scholar · View at Scopus
  7. D. G. Karalis, K. Chandrasekaran, M. F. Victor, J. J. Ross Jr., and G. S. Mintz, “Recognition and embolic potential of intraaortic atherosclerotic debris,” Journal of the American College of Cardiology, vol. 17, no. 1, pp. 73–78, 1991. View at Publisher · View at Google Scholar · View at Scopus
  8. M. S. Chimenti, E. Ballanti, P. Triggianese, and R. Perricone, “Vasculitides and the complement system: a comprehensive review,” Clinical Reviews in Allergy & Immunology, vol. 49, no. 3, pp. 333–346, 2015. View at Publisher · View at Google Scholar · View at Scopus
  9. E. Reinhold-Keller, K. Herlyn, R. Wagner-Bastmeyer, and W. L. Gross, “Stable incidence of primary systemic vasculitides over five years: results from the German vasculitis register,” Arthritis and Rheumatism, vol. 53, no. 1, pp. 93–99, 2005. View at Publisher · View at Google Scholar · View at Scopus
  10. S. F. Agolini, K. T. Shah, J. J. Goodreau, T. M. McLoughlin Jr., and M. C. Sinclair, “Splenic infarction caused by a large thoracic aortic thrombus,” Journal of Vascular Surgery, vol. 26, no. 6, pp. 1069–1072, 1997. View at Publisher · View at Google Scholar · View at Scopus
  11. N. Koivuviita, R. Tertti, M. Heiro, I. Manner, and K. Metsarinne, “Thromboembolism as a cause of renal artery occlusion and acute kidney injury: the recovery of kidney function after two weeks,” Case Reports in Nephrology and Dialysis, vol. 4, no. 1, pp. 82–87, 2014. View at Publisher · View at Google Scholar
  12. M. T. Jaroch, T. A. Broughan, and R. E. Hermann, “The natural history of splenic infarction,” Surgery, vol. 100, pp. 743–750, 1986. View at Google Scholar
  13. M. J. Sise, “Acute mesenteric ischemia,” The Surgical Clinics of North America, vol. 94, no. 1, pp. 165–181, 2014. View at Publisher · View at Google Scholar · View at Scopus
  14. J. L. Eliason, R. M. Wainess, M. C. Proctor et al., “A national and single institutional experience in the contemporary treatment of acute lower extremity ischemia,” Annals of surgery, vol. 121, pp. 76–84, 2003. View at Publisher · View at Google Scholar
  15. P. Lozano, F. T. Gomez, J. Julia, E. M-Rimbau, and F. Garcia, “Recurrent embolism caused by floating thrombus in the thoracic aorta,” Annals of Vascular Surgery, vol. 12, no. 6, pp. 609–611, 1998. View at Publisher · View at Google Scholar · View at Scopus
  16. D. Hausmann, D. Gulba, K. Bargheer, J. Niedermeyer, K. A. Comess, and W. G. Daniel, “Successful thrombolysis of an aortic-arch thrombus in a patient after mesenteric embolism,” The New England Journal of Medicine, vol. 327, no. 7, pp. 500-501, 1992. View at Publisher · View at Google Scholar · View at Scopus
  17. C. M. Larsen and S. L. Mulvagh, “Cardio-oncology: what you need to know now for clinical practice and echocardiography,” Echo Research and Practice, vol. 4, no. 1, pp. R33–R41, 2017. View at Publisher · View at Google Scholar · View at Scopus
  18. T. L. Hahn, M. C. Dalsing, A. P. Sawchuk, D. F. Cikrit, and S. G. Lalka, “Primary aortic mural thrombus: presentation and treatment,” Annals of Vascular Surgery, vol. 13, no. 1, pp. 52–59, 1999. View at Publisher · View at Google Scholar · View at Scopus
  19. E. M. Choukroun, L. M. Labrousse, F. P. Madonna, and C. Deville, “Mobile thrombus of the thoracic aorta: diagnosis and treatment in 9 cases,” Annals of Vascular Surgery, vol. 16, no. 6, pp. 714–722, 2002. View at Publisher · View at Google Scholar · View at Scopus