title: Endovascular management of a mobile thoracic aortic thrombus following recurrent distal thromboembolism: a case report and literature review.
abstract: Sources of lower extremity and visceral arterial thromboembolism most commonly include the heart and proximal aneurysmal disease. Infrequently, further workup of "cryptogenic" emboli will reveal a mural atheroma or thrombus of the descending thoracic aorta. Without prospective data, anticoagulation and open surgical thrombectomy with or without aortic replacement have been the standard approach. Presented is a case of a floating mural thrombus in the setting of superior mesenteric and femoral arterial thromboembolism that was effectively treated with endovascular stent graft exclusion.
authors.affiliation: Department of Vascular Surgery, San Antonio Military Medical Center, Ft Sam Houston, TX, USA.
authors.forename: Daniel J
authors.initials: DJ
authors.lastname: Scott
authors.forename: Joseph M
authors.initials: JM
authors.lastname: White
authors.forename: Zachary M
authors.initials: ZM
authors.lastname: Arthurs
mesh_terms: D000368:Aged; D001013:Aorta, Thoracic / Q000601:surgery*; D001018:Aortic Diseases / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D017548:Echocardiography, Transesophageal; D057510:Endovascular Procedures / Q000295:instrumentation; D005260:Female; D005263:Femoral Artery / Q000000981:diagnostic imaging; D006801:Humans; D017538:Mesenteric Artery, Superior / Q000000981:diagnostic imaging; D008641:Mesenteric Vascular Occlusion / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D058729:Peripheral Arterial Disease / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D012008:Recurrence; D015607:Stents; D017131:Thrombectomy; D013923:Thromboembolism / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D013927:Thrombosis / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
keywords: atheroma; embolism; endovascular; floating thrombus; mobile thrombus; stent graft; thoracic aorta