Thoracic endovascular aortic repair in a patient with mobile aortic thrombosis.
A 58-year-old female presented with acute arterial insufficiency to her left leg. Following cardiovascular evaluation using multimodality imaging, it was discovered that she had mobile thoracic thrombi overlying a normal descending thoracic aorta which had also caused a splenic infarction. This patient was treated with unfractionated heparin for three days and underwent subsequent thoracic endovascular aortic repair (TEVAR) uneventfully with no subsequent complications at one-year followup. This case highlights the diagnostic and therapeutic challenges in treating patients with this uncommon challenging clinical scenario.
Chris Hani Baragwanath Academic Hospital, Old Potchefstroom Road, Soweto, Johannesburg 2013, South Africa.
Graham M
GM
Lohrmann
Flora Clinic, William Nicol Drive, Floracliffe, Johannesburg 1709, South Africa.
Ferande
F
Peters