[Floating thrombus in the aortic arch, a rare cause of lower limb ischemia].

Medicina (B Aires)

Service de Radiologie, Clinique André Renard, Herstal, Bélgica.

Published: April 2023

AI Article Synopsis

  • - A 59-year-old man experienced acute pain in his left leg due to blocked arteries from clots.
  • - Initial evaluations ruled out vascular disease and suggested a possible heart-related source, leading to further testing.
  • - A floating thrombus was found in the aortic arch, and the patient successfully underwent surgery to implant an aortic endoprosthesis.

Article Abstract

Acute arterial occlusion of the lower limbs is a medical and surgical emergency due to its morbi-mortality. We present the case of a 59-year-old man admitted to the emergency department for acute and diffuse pain in the left lower limb caused by extensive obstructive clots in the arteries of this limb. Since atheromatous cause was unlikely after angioscopy of the lower limbs, a cardiac origin was suspected. Echocardiogram was normal, however, thoracic angiotomography revealed a floating thrombus in the aortic arch. The patient was treated surgically with placement of an aortic endoprosthesis without complications.

Download full-text PDF

Source

Publication Analysis

Top Keywords

thrombus aortic
8
aortic arch
8
lower limb
8
lower limbs
8
[floating thrombus
4
arch rare
4
lower
4
rare lower
4
limb ischemia]
4
ischemia] acute
4

Similar Publications

Percutaneous valve implantation or surgical replacement with mechanical or biological valves are standard therapies for severe valvular heart diseases. Prosthetic valve thrombosis, though rare, is a serious complication, particularly with mechanical prostheses. This study aimed to investigate the predictive value of platelet volume parameters, including mean platelet volume (MPV), platelet distribution width (PDW), and platelet-large cell ratio (P-LCR), for valvular thrombosis risk in patients undergoing valve replacement therapy.

View Article and Find Full Text PDF

We encountered a 75-year-old man who underwent total arch replacement for a thoracic aortic aneurysm, then ascending aortoplasty for hemolysis due to a kinked ascending aortic graft. He presented with exhaustion and anemia 3 years later. Computed tomography revealed a large floating thrombus in the ascending aortic graft attached to the dorsal suture line.

View Article and Find Full Text PDF

A 50-year-old man with an acute type B aortic dissection underwent thoracic endovascular aortic repair in 2019. The patient presented again with chest pain and left arm numbness. Computed tomography scan revealed aneurysm expansion and extensive thrombus within a floating stent graft.

View Article and Find Full Text PDF

We document a case of a 75-year-old patient with a history of hypercholesterolemia and hypertension, who underwent endovascular aortic repair (EVAR) for an infrarenal abdominal aortic aneurysm (AAA) with common iliac artery ectasia. Despite an initially successful procedure, the patient experienced recurrent episodes of acute limb ischemia in his right leg. Subsequent imaging revealed thrombus formation distal to the stent graft, constituting a potential source of embolization, which warranted a reevaluation of the treatment strategy.

View Article and Find Full Text PDF

The mediastinal vasculature can be affected by various etiologies in cancer patients. Both direct and indirect sequela of cancer may result in life-threatening clinical presentations. Tumor growth may cause vessel narrowing and decreased blood flow from either extrinsic mass effect, invasion into the vascular wall, or tumor thrombus within the lumen.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!