Recurrent systemic embolism: look for a thrombus in... the thoracic aorta

Annales Françaises D'anesthèsie Et De Rèanimation
J ProthetB Allaouchiche

Abstract

Thoracic aortic mural thrombus is a rare entity and potential source of serious systemic emboli. The progress of computed tomography (CT) angiography and the current use of transesophageal echocardiography (TEE) after any embolic event have considerably increased the frequency of diagnostic and there is a growing interest about the etiopathogenesis, which is still widely misunderstood. Therapeutic management remains controversial. We present a case of floating thrombus in the thoracic aorta detected by contrast-enhanced CT scan. This thrombus was responsible for two close major embolic events and was therefore managed surgically. Finally, outcome was favorable.

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Citations

Aug 31, 2011·Seminars in Cardiothoracic and Vascular Anesthesia·Vijay KrishnamoorthyDavid E Schwartz
Dec 15, 2010·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·N TsilimparisR I Rückert

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