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Thoracic endovascular aortic repair in a patient with mobile aortic thrombosis.

ABSTRACT: 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.

SUBMITTER: Lohrmann GM 

PROVIDER: S-EPMC3971888 | biostudies-literature | 2014

REPOSITORIES: biostudies-literature

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Thoracic endovascular aortic repair in a patient with mobile aortic thrombosis.

Lohrmann Graham M GM   Peters Ferande F  

Case reports in vascular medicine 20140206

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  ...[more]

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