scholarly journals A Case of COVID-19-Associated Free-Floating Aortic Thrombus Successfully Treated with Thrombectomy

2021 ◽  
Vol 22 ◽  
Author(s):  
Lisa Dao ◽  
Alina Lund ◽  
Christina D. Schibler ◽  
Christine A. Yashioka ◽  
Maria Barsky
Keyword(s):  
Aortic Thrombus

Visceral segment aortic thrombus is associated with proximal aortic degeneration after infrarenal abdominal aortic aneurysm repair

Vascular ◽  
2021 ◽  
pp. 170853812110212
Author(s):  
Sean P Steenberge ◽  
Daniel G Clair ◽  
Matthew J Eagleton ◽  
Francis J Caputo ◽  
Christopher J Smolock ◽  
...  
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Endovascular Repair ◽  
Abdominal Aortic Aneurysm Repair ◽  
Infrarenal Abdominal Aortic Aneurysm ◽  
Abdominal Aortic ◽  
Aortic Thrombus ◽  
Aneurysm Development ◽  
Aneurysm Repair ◽  
Aortic Aneurysm Repair

Objective To identify predictors of aortic aneurysm formation at or above an infrarenal abdominal aortic aneurysm repair. Methods A total of 881 infrarenal abdominal aortic aneurysm repairs were identified at a single institution from 2004 to 2008; 187 of the repairs were identified that had pre-operative and post-operative computed tomography imaging at least one year or greater to evaluate for aortic degeneration following repair. Aortic diameters at the celiac, superior mesenteric, and renal arteries were measured on all available computed tomographic scans. Aortic thrombus and calcification volumes in the visceral and infrarenal abdominal aortic segments were calculated. Multivariable modeling was used with log transformed variables to determine potential predictors of future aortic aneurysm development after infrarenal abdominal aortic aneurysm repair. Results Of the 187 patients in the cohort, 100 had an open abdominal aortic aneurysm repair while 87 were treated with endovascular repair. Proximal aortic aneurysms developed in 26% ( n = 49) of the cohort during an average of 72 ± 34.2 months of follow-up. After multivariable modeling, visceral segment aortic thrombus on pre-operative computed tomography imaging increased the risk of aortic aneurysm development above the infrarenal abdominal aortic aneurysm repair within both the open abdominal aortic aneurysm (hazard ratio 2.04, p = 0.033) and endovascular repair (hazard ratio 3.31, p = 0.004) cohorts. Endovascular repair was independently associated with a higher risk of future aortic aneurysm development after infrarenal abdominal aortic aneurysm repair when compared to open abdominal aortic aneurysm (hazard ratio 2.19, p = 0.025). Conclusions Visceral aortic thrombus present prior to abdominal aortic aneurysm repair and endovascular repair are both associated with an increased risk of future proximal aortic degeneration after infrarenal abdominal aortic aneurysm repair. These factors may predict patients at higher risk of developing proximal aortic aneurysms that may require complex aortic repairs.

scholarly journals Aortic Valve Endocarditis with Anomalous Origin of the Right Coronary Artery and Unknown Infected Thrombus in the Dissected Descending Thoracic Aorta

Aorta ◽  
2020 ◽  
Vol 08 (03) ◽  
pp. 076-079
Author(s):  
Juan Caceres ◽  
Vikram Sood ◽  
Linda Farhat ◽  
Bo Yang
Keyword(s):  
Coronary Artery ◽  
Right Coronary Artery ◽  
Aortic Root ◽  
Recurrent Infection ◽  
Young Male ◽  
Descending Thoracic Aorta ◽  
Native Valve ◽  
Aggressive Approach ◽  
Aortic Thrombus ◽  
The Right

AbstractWe report an intricate aortic root replacement in a young male patient suffering from native valve infective endocarditis due to Serratia marcescens. Further complicating the total root replacement, there was an unknown infected aortic thrombus and a concomitant anomalous right coronary artery with an intramural course. As a result of our more aggressive approach, we believe that we lowered the risk of recurrent infection of the bioprosthesis of the aortic root.

Fatal Giant Aortic Thrombus Presenting With Pulmonary Edema in a Patient With Chronic Obstructive Pulmonary Disease

2007 ◽  
Vol 14 (4) ◽  
pp. 486-488 ◽  
Author(s):  
Ibrahim Sari ◽  
Vedat Davutoglu ◽  
Nazan Bayram ◽  
Serdar Soydinc
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Pulmonary Disease ◽  
Thrombus Formation ◽  
Cardiopulmonary Arrest ◽  
Rare Event ◽  
Diagnostic Methods ◽  
Chronic Obstructive ◽  
Low Back ◽  
Obstructive Pulmonary Disease ◽  
Aortic Thrombus

Thrombus formation in a morphologically normal a aorta is a very rare event. A 50-year-old man with a his- s tory of chronic obstructive pulmonary disease, pre- e sented to the emergency department with pulmonary C edema. Transthoracic and transesophageal echocardio- t graphy revealed a highly mobile, pedunculated floating c thrombus in the descending thoracic aorta 3-4 cm dis- t tal to the origin of the left subclavian artery. The orig- t inal lumen of the aorta was almost obliterated by the thrombus. The aortic wall was free of any atheroma. Thrombolytic treatment was administered, but 3 hours d after starting streptokinase, he developed sudden and severe low-back pain accompanied by loss of lower-extremity pulses which were patent on admission. Cardiopulmonary arrest developed within an hour and the patient died despite resuscitation. The potential causes of aortic thrombus, the clinical spectrum that the patients may present, diagnostic methods, and therapeutic options are discussed.

Causes of “idiopathic” aortic thrombus

2003 ◽  
Vol 75 (6) ◽  
pp. 2007 ◽  
Author(s):  
Michael H Goldman ◽  
Bechara Akl ◽  
Shayrar Mafi ◽  
Lucia Pastore
Keyword(s):  
Aortic Thrombus

Large mural thrombus in the distal arch of the aorta without atherosclerotic disease

2021 ◽  
Vol 14 (8) ◽  
pp. e243493
Author(s):  
Mohammed M Uddin ◽  
Mohamad Amer Soudan ◽  
Joseph Sebastian ◽  
Tanveer Mir ◽  
Said Ashraf ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cardiovascular Risk ◽  
Complete Resolution ◽  
Imaging Study ◽  
Mural Thrombus ◽  
Endovascular Interventions ◽  
Surveillance Imaging ◽  
Aortic Thrombus ◽  
Systemic Anticoagulation ◽  
Arch Of The Aorta

Aortic mural thrombus (AMT) is an uncommon cause of arterial thromboembolism. It is very rare in patients without significant cardiovascular risk factors. Many aetiologies can cause AMT, but there are no clear guidelines for the evaluation and treatment. We present the case of a 43-year-old woman without arteriosclerotic disease who was admitted to the hospital with peripheral embolisation from the mural thrombus in the distal arch of the aorta. Therapy with systemic anticoagulation resulted in complete resolution without necessitating any surgical or endovascular interventions. There were no reported recurrence or complications of the intra-aortic thrombus within 1-year surveillance imaging study.

scholarly journals Successful Off-Label Use of an Iliac Branch Device to Rescue an Occluded Aortofemoral Bypass Graft

2018 ◽  
Vol 26 (1) ◽  
pp. 128-132 ◽  
Author(s):  
Mario D’Oria ◽  
Marco Pipitone ◽  
Francesco Riccitelli ◽  
Davide Mastrorilli ◽  
Cristiano Calvagna ◽  
...  
Keyword(s):  
Bypass Graft ◽  
Limb Ischemia ◽  
Aortofemoral Bypass ◽  
Off Label ◽  
Alternative Approach ◽  
Aortic Thrombus ◽  
Endovascular Device ◽  
Completion Angiography ◽  
Antegrade Catheterization

Purpose: To report an alternative approach for rescue of an occluded aortofemoral bypass using the Gore Excluder Iliac Branch Endoprosthesis (IBE). Case Report: A 52-year-old man presented with acute right limb ischemia because of displaced and occluded iliac stents and was treated with aortofemoral bypass. On the third postoperative day, there was early bypass failure due to distal embolization from aortic thrombus. After fluoroscopy-guided balloon thrombectomy of the bypass, an endovascular bailout strategy was used. The Gore Excluder IBE was deployed below the renal arteries (with the external iliac limb opening in the surgical prosthesis and the gate opening within the aortic lumen). After antegrade catheterization of the gate, a Gore Viabahn endoprosthesis was inserted as the bridging endograft and deployed so that it landed just above the preimplanted aortoiliac kissing stents without overlapping them. Completion angiography showed technical success without complications; results were sustained at 1-year follow-up. Conclusion: The Gore Excluder IBE may represent a versatile solution for the rescue of complex cases when open surgery would be associated with a considerable risk. This off-label application of a well-recognized endovascular device is safe and feasible and may prove useful as a valuable alternative in properly selected patients.

scholarly journals Floating intra-aortic thrombus presenting as distal arterial embolism

2009 ◽  
Vol 9 (3) ◽  
pp. 532-534 ◽  
Author(s):  
D. Pousios ◽  
T. Velissaris ◽  
S. Duggan ◽  
G. Tsang
Keyword(s):  
Arterial Embolism ◽  
Aortic Thrombus

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.

SARS-CoV-2 Virus Infection-Related Arterial Thromboembolism Leading to Critical Limb Ischemia and Amputation

2021 ◽  
Author(s):  
Jenna Smith ◽  
Aleem Mirza ◽  
Jesse Manunga ◽  
Nedaa Skeik
Keyword(s):  
Case Report ◽  
Critical Limb Ischemia ◽  
Limb Ischemia ◽  
Thromboembolic Events ◽  
Arterial Thromboembolism ◽  
Abdominal Aortic ◽  
Aortic Thrombus ◽  
Venous Thromboembolic Events ◽  
Increase Risk ◽  
Venous Thromboembolic

AbstractCOVID-19 infection has been shown to increase risk for thromboembolism. With most studies reporting mainly venous thromboembolic events, there is a lack of literature regarding the incidence of arterial thromboses in patients with COVID-19 infection. We report a dramatic case of a 55-year-old male with confirmed COVID-19 infection who presented with acute left critical limb ischemia leading to amputation as a result of thromboembolism from a distal abdominal aortic thrombus. Our case report contributes to the limited body of literature on COVID-19-related arterial thromboembolism. The patient consented to publish this case.

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