Case report of a sub-occluding thrombus in thoracic aorta: what is the origin?

European Heart Journal. Case Reports
Federica CampanaMaria Lorenza Muiesan

Abstract

Aortic thrombosis represents a consequence of atherosclerotic disease. In few cases, it can be secondary to large vessel or infective vasculitis. More rarely, aortic thrombosis is the manifestation of a primary malignant neoplasm of the aortic wall. Aortic angiosarcoma is a rare tumour, its clinical presentation is often non-specific and associated signs and symptoms may vary greatly. An early diagnosis is difficult to reach and the presence of metastatic disease is not uncommon at the time of diagnosis. The prognosis is poor overall. We report the case of a female patient who presented to her GP because of fatigue, hyporexia, weight-loss, and anaemia. An ultrasound of the abdomen showed two small pancreatic lesions, confirmed and described as benign cystic pancreatic lesions on computed tomography (CT) imaging; an incidental thrombus in the superior mesenteric artery was also found on CT imaging. The thoracic CT identified a large thrombotic lesion in the descending thoracic aorta with significant narrowing of the aortic lumen and confirmed the presence of an osteolytic bone lesion on the VIII right rib, in the absence of atherosclerotic disease. Signs of increased metabolic activity in the aortic lumen and in the VIII posteri...Continue Reading

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Citations

Mar 2, 2021·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Jane P KoBarry Hutchinson
Mar 30, 2021·Vascular Specialist International·Giuseppe DeianaStefano Camparini
Jul 10, 2021·Vascular·Ali KordzadehAlexandros Charalabopoulos

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Methods Mentioned

BETA
biopsy
electrophoresis
surgical resection

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