title: Endovascular stent graft repair of thoracic aortic mural thrombus in a patient with polycythemia vera: a word of caution.
abstract: Thoracic aortic mural thrombus (TAMT) is a rare pathology and potential source of cerebral, visceral, and peripheral emboli. We present a 62-year-old male in a hypercoagulable state due to primary polycythemia vera (PV) developed TAMT and catastrophic thromboembolisms despite aggressive medical and surgical management. The outcomes and adverse events of endovascular exclusion of TAMT in the presence of PV are unknown. We would recommend proceeding with extreme caution when performing endovascular exclusion of TAMT, as PV may be a prohibitive risk.
authors.affiliation: Division of Vascular Surgery, Beth Israel Medical Center, New York, USA shin922@gmail.com.
authors.forename: Shinichi
authors.initials: S
authors.lastname: Fukuhara
authors.affiliation: Division of Vascular Surgery, Beth Israel Medical Center, New York, USA.
authors.forename: Samuel
authors.initials: S
authors.lastname: Tyagi
authors.affiliation: Division of Vascular Surgery, Beth Israel Medical Center, New York, USA.
authors.forename: Emily
authors.initials: E
authors.lastname: Clarke-Pearson
authors.affiliation: Division of Vascular Surgery, Beth Israel Medical Center, New York, USA.
authors.forename: Thomas
authors.initials: T
authors.lastname: Bernik
mesh_terms: D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D001018:Aortic Diseases / Q000097:blood / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001777:Blood Coagulation; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects* / Q000295:instrumentation; D017548:Echocardiography, Transesophageal; D057510:Endovascular Procedures / Q000009:adverse effects* / Q000295:instrumentation; D006801:Humans; D008297:Male; D008875:Middle Aged; D011087:Polycythemia Vera / Q000097:blood / Q000150:complications* / Q000175:diagnosis; D018570:Risk Assessment; D012307:Risk Factors; D013923:Thromboembolism / Q000097:blood / Q000209:etiology*; D013927:Thrombosis / Q000097:blood / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
keywords: Thoracic aortic mural thrombus; endovascular aortic repair; polycythemia vera