Neonatal ascending aortic thrombus: successful medical treatment

2012 ◽  
Vol 23 (4) ◽  
pp. 610-612
Author(s):  
Roberto Gallotti ◽  
Cheryl E. Cammock ◽  
Natalia Dixon ◽  
Yoshio Ootaki
Keyword(s):  
Thrombolytic Therapy ◽  
Arterial Thrombosis ◽  
Umbilical Artery ◽  
Ascending Aorta ◽  
Significant Morbidity ◽  
Aortic Thrombosis ◽  
Common Location ◽  
Aortic Thrombus ◽  
Threatening Condition ◽  
Life Threatening

AbstractNeonatal aortic thrombosis is a potentially life-threatening condition with significant morbidity and mortality if undiagnosed and untreated. The most common location of arterial thrombosis in neonates is in the abdominal aorta and is associated with umbilical artery catheterisation. There are only a few previous reports of thrombosis in the ascending aorta. We describe a case of ascending aortic thrombosis in a neonate who underwent successful thrombolytic therapy.

Bowel ischemia caused by a giant thrombus in the ascending aorta. A case report

Vascular ◽  
2014 ◽  
Vol 23 (6) ◽  
pp. 641-644 ◽  
Author(s):  
Hua-Dong Li ◽  
Tu-Cheng Sun
Keyword(s):  
Rare Case ◽  
Rare Condition ◽  
Ascending Aorta ◽  
Bowel Ischemia ◽  
Synthetic Graft ◽  
Aortic Thrombosis ◽  
Coagulation Therapy ◽  
Aortic Thrombus ◽  
Organized Thrombus

Although an ascending aortic thrombus is a rare condition, it can cause serious complications of thromboembolism. Here we present a rare case of a patient who was hospitalized due to ileal arteries embolization caused by emboli from a giant thrombus in the ascending aorta. After 10 days anti-coagulation therapy, we performed a surgery to replace the ascending aorta containing the strip organized thrombus with a synthetic graft. During two years of postoperative follow-up, no recurrence of aortic thrombosis was found. Although the exact cause of this thrombus remains unclear, we believe that it is important to perform a surgery as soon as the presence of an ascending aortic thrombus is confirmed, which could help preventing the major recurrent embolic events.

scholarly journals A case of chronic mesenteric ischemia managed by ascending aorta to superior mesenteric and hepatic artery bypass

2017 ◽  
Vol 4 (8) ◽  
pp. 2836
Author(s):  
Harilal V. Nambiar ◽  
Robin George Manappallil ◽  
Sylesh Aikot ◽  
Pramod V.
Keyword(s):  
Hepatic Artery ◽  
Mesenteric Ischemia ◽  
Artery Bypass ◽  
Aortic Disease ◽  
Artery Occlusion ◽  
Ascending Aorta ◽  
Mesenteric Arteries ◽  
Chronic Mesenteric Ischemia ◽  
Threatening Condition ◽  
Life Threatening

Chronic mesenteric ischemia is a rare and life-threatening condition which occurs due to occlusion of two or more mesenteric arteries following atherosclerosis. Multi-vessel revascularization forms the mainstay of treatment. This is a case of a middle-aged smoker who presented with abdominal angina and was diagnosed to have chronic mesenteric ischemia due to atherosclerotic occlusive aortic disease with coeliac artery and superior mesenteric artery occlusion. He was successfully managed with extra anatomic bypass from the ascending aorta to superior mesenteric and hepatic artery.

Cystic medial necrosis Erdheim Gsell as a rare reason for spontaneous rupture of the ascending aorta

VASA ◽  
2011 ◽  
Vol 40 (2) ◽  
pp. 147-149 ◽  
Author(s):  
Gary ◽  
Seinost ◽  
Hafner ◽  
Gorkiewicz ◽  
Brodmann
Keyword(s):  
Sudden Death ◽  
Spontaneous Rupture ◽  
Ascending Aorta ◽  
Atheromatous Plaque ◽  
Cystic Medial Necrosis ◽  
Threatening Condition ◽  
Life Threatening ◽  
Medial Necrosis

Spontaneous rupture of the ascending aorta is a life-threatening condition requiring immediate intervention. The rupture usually leads to sudden death as a result of hemopericardium or hemothorax. The underlying histopathological condition in the cases described so far was mostly an atheromatous plaque. Some other rare underlying conditions were also described. We report a case of cystic medial necrosis Erdheim Gsell as a reason for fatal spontaneous rupture of the ascending aorta.

scholarly journals Percutaneous Mechanical Support in Cardiogenic Shock: A Review

2015 ◽  
Vol 9s2 ◽  
pp. CMC.S19707
Author(s):  
Fahad Syed Gilani ◽  
Sarah Farooqui ◽  
Rajiv Doddamani ◽  
Luis Gruberg
Keyword(s):  
Cardiogenic Shock ◽  
Pharmacological Therapy ◽  
Mechanical Support ◽  
Significant Morbidity ◽  
First Line ◽  
Life Saving ◽  
Threatening Condition ◽  
Life Threatening ◽  
Hemodynamic Improvement ◽  
Support Devices

Cardiogenic shock (CS) is a life-threatening condition associated with significant morbidity and mortality. Pharmacological therapy is often the first line of treatment but mechanical support can provide substantial hemodynamic improvement in refractory CS. Percutaneous mechanical support devices are placed in a minimally invasive manner and provide life-saving assistance to the failing myocardium. We review the percutaneous devices currently available, the evidence behind their use, and the new advances in percutaneous technology being evaluated for the treatment of CS.

scholarly journals DRESS Syndrome due to Nevirapine Treated with Methylprednisolone

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Henrique Pott Junior ◽  
Gisele Cristina Gosuen ◽  
Ana Cristina Gales
Keyword(s):  
Clinical Presentation ◽  
Mortality Rates ◽  
Multiple Organ ◽  
Clinical Suspicion ◽  
Significant Morbidity ◽  
Dress Syndrome ◽  
Infected Female ◽  
Threatening Condition ◽  
Life Threatening ◽  
Systemic Symptoms

Nevirapine-induced DRESS syndrome is uncommon but a potentially life-threatening condition, with significant morbidity and mortality rates due to multiple-organ involvement. The authors report a case of a 47-year-old HIV-infected female patient who presented with fever, right hypochondrium pain, jaundice, and skin rash. The Nevirapine-induced DRESS syndrome was suspected based on clinical presentation and RegiSCAR scoring system. This case highlights the need for a high index of clinical suspicion among HIV-infected patients with severe skin eruption and systemic symptoms.

scholarly journals Operative management of ascending aorta thrombus and bilateral pulmonary embolism in the setting of breast cancer

2020 ◽  
Author(s):  
Jorge Alcocer ◽  
María Ascaso ◽  
Eduard Quintana ◽  
Elena Sandoval ◽  
Manuel Castella
Keyword(s):  
Pulmonary Embolism ◽  
Operative Management ◽  
Massive Pulmonary Embolism ◽  
Postoperative Recovery ◽  
Ascending Aorta ◽  
Efficient Treatment ◽  
Aortic Replacement ◽  
Aortic Thrombus ◽  
Ascending Aortic Replacement ◽  
Life Threatening

Pulmonary embolism and concomitant floating aortic thrombus are a rare and potentially life-threatening association. Several therapeutic options are available and best management can be controversial when these conditions coexist. We describe a case of a 79-year-old woman presented with massive pulmonary embolism and simultaneous floating thrombus in the ascending aorta. She underwent concomitant ascending aortic replacement and surgical pulmonary embolectomy with an uneventful postoperative recovery. Open surgical repair is a one stage repair approach that may offer the most efficient treatment to allow survival.

scholarly journals Penetrating atherosclerotic ulcer of the ascending aorta

2020 ◽  
Vol 179 (2) ◽  
pp. 44-46
Author(s):  
S. Yu. Boldyrev ◽  
V. N. Suslova ◽  
V. A. Pekhterev ◽  
K. O. Barbukhatti ◽  
V. A. Porhanov
Keyword(s):  
Vascular Prosthesis ◽  
Ascending Aorta ◽  
Valve Prosthesis ◽  
Penetrating Atherosclerotic Ulcer ◽  
Mechanical Prosthesis ◽  
Satisfactory Condition ◽  
Threatening Condition ◽  
Penetrating Ulcer ◽  
Aortic Valve Prosthesis ◽  
Life Threatening

To date, the incidence of penetrating aortic ulcers is from 2 to 7 % of all cases of acute aortic syndrome, localization of this pathology in the ascending aorta are casuistic. We present the case of an intraoperative finding of a penetrating ulcer of the ascending aorta. The patient underwent separate prosthetics of the ascending aorta with the vascular prosthesis Uni-Graft No. 28 and the aortic valve prosthesis with the mechanical prosthesis Medtronic No. 23. The patient was discharged on the 8th day in a satisfactory condition. Penetrating atherosclerotic ulcer is a potentially life-threatening condition, the detection of which requires aggressive tactics of surgical treatment.

Spontaneous aortic thrombosis in neonates: a case report and review of literature

2020 ◽  
Vol 30 (1) ◽  
pp. 95-99 ◽  
Author(s):  
John P. Mulcaire-Jones ◽  
David K. Bailly ◽  
Deborah U. Frank ◽  
Anupam R. Verma ◽  
Bradley J. Barney ◽  
...  
Keyword(s):  
Umbilical Artery ◽  
Treatment Method ◽  
Rare Occurrence ◽  
Review Of Literature ◽  
Review Of The Literature ◽  
Lower Odds ◽  
Aortic Thrombosis ◽  
Reference Treatment ◽  
Life Threatening ◽  
Management Recommendations

AbstractNeonatal aortic thrombosis is a rare occurrence but can be life-threatening. Most aortic thrombosis in neonates is related to umbilical artery catheters. A case of a neonate with a spontaneous aortic thrombosis is described here along with a comprehensive review of the literature for cases of neonatal aortic thrombosis not related to any intravascular device or procedure. The aetiologies of these spontaneous thromboses and the relevance of hypercoagulable disorders are discussed. The cases were analysed for odds of death by treatment method adjusted for era. The reference treatment method was thrombolysis and anticoagulation. No other treatment modality had significantly lower odds than the reference. Surgery alone had higher odds for death than the reference, but this may be confounded by severity of case. The management recommendations for clinicians encountering neonates with spontaneous neonatal aortic thrombosis are discussed.

May-Thurner syndrome – Are we aware enough?

VASA ◽  
2019 ◽  
Vol 48 (5) ◽  
pp. 381-388 ◽  
Author(s):  
Katalin Mako ◽  
Attila Puskas
Keyword(s):  
Contraceptive Use ◽  
Iliac Vein ◽  
Common Iliac Vein ◽  
Vein Thrombosis ◽  
Compression Syndrome ◽  
Threatening Condition ◽  
Life Threatening ◽  
Iliac Vein Compression ◽  
Iliac Vein Compression Syndrome ◽  
The Right

Summary. Iliac vein compression syndrome (May-Thurner syndrome – MTS) is an anatomically variable clinical condition in which the left common iliac vein is compressed between the right common iliac artery and the underlying spine. This anatomic variant results in an increased incidence of left iliac or iliofemoral vein thrombosis. It predominantly affects young women in the second or third decades of life with preponderance during pregnancy or oral contraceptive use. Although MTS is rare, its true prevalence is underestimated but it can be a life-threatening condition due to development of pulmonary embolism (PE). In this case based review the authors present three cases of MTS. All patients had been previously confirmed with PE, but despite they were admitted to hospital, diagnosed and correctly treated for PE and investigated for thrombophilia, the iliac vein compression syndrome was not suspected or investigated. With this presentation the authors would like to emphasize that MTS is mostly underdiagnosed, and it needs to be ruled out in left iliofemoral vein thrombosis in young individuals.

Severe Alveolar Hemorrhage – What’s in it for the Gastroenterologist?

2016 ◽  
Vol 25 (4) ◽  
pp. 555-558
Author(s):  
Alina Popp
Keyword(s):  
Celiac Disease ◽  
International Normalized Ratio ◽  
Gluten Free Diet ◽  
Alveolar Hemorrhage ◽  
Severe Anemia ◽  
Gluten Free ◽  
Pulmonary Infiltrates ◽  
Pulmonary Hemosiderosis ◽  
Threatening Condition ◽  
Life Threatening

Background: Alveolar hemorrhage is a potentially life-threatening condition which is usually managed by the pulmonologist. When considering its etiology, there is a rare association that sets the disease into the hands of the gastroenterologist. Case presentation: We report the case of a 48 year-old female who was admitted to the intensive care unit for severe anemia and hemoptysis. On imaging, diffuse pulmonary infiltrates suggestive of alveolar hemorrhage were detected and a diagnosis of pulmonary hemosiderosis was made. She received cortisone therapy and hematologic correction of anemia, with slow recovery. In search of an etiology for the pulmonary hemosiderosis, an extensive workup was done, and celiac disease specific serology was found positive. After confirmation of celiac disease by biopsy, a diagnosis of Lane-Hamilton syndrome was established. The patient was recommended a gluten-free diet and at 6 months follow-up, resolution of anemia and pulmonary infiltrates were observed. Conclusion: Although the association is rare, celiac disease should be considered in a patient with idiopathic pulmonary hemosiderosis. In our case, severe anemia and alveolar infiltrates markedly improved with glucocorticoids and gluten-free diet. Abbreviations: APTT: activated partial thromboplastin time; BAL: bronchoalveolar lavage; CD: celiac disease; Cd: crypt depth; GFD: gluten-free diet; GI: gastrointestinal; IEL: intraepithelial lymphocyte; INR: international normalized ratio; IPH: idiopathic pu

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