Acute systemic embolism due to an idiopathic floating thrombus of the thoracic aorta: success of medical management: a case report.
BACKGROUND
Idiopathic thoracic aortic mural thrombi are rare. They can be responsible for dramatic systemic embolization. Early treatment is imperative because of their high morbidity and mortality rate.


METHODS
A 55-year-old previously healthy Moroccan male came in an array of acute right lower limbs pain and abdominal sensibility. Severe systemic embolism involving the lower extremities, spleen, kidney, and digestive tract, due to an idiopathic mural thrombus of the thoracic aorta was diagnosed. He received medical treatment leading to the complete disappearance of the thrombus and the effects caused by the latter.


CONCLUSIONS
When faced unexplained peripheral embolization, research for a thrombus of the thoracic aorta should be performed. Medical treatment should be considered for its management, especially in patients with high surgical risk.
Department of Vascular Surgery, Mohammed V Military Hospital, Mohammed V University, Dr Abissegue Yves S/C ERSSM BP 1044 Rabat Océan Maroc, Rabat, Morocco. drabissyves@gmail.com.
Yves Ghislain
YG
Abissegue
Department of Vascular Surgery, Mohammed V Military Hospital, Mohammed V University, Dr Abissegue Yves S/C ERSSM BP 1044 Rabat Océan Maroc, Rabat, Morocco. youssef.lyazidi@gmail.com.
Youssef
Y
Lyazidi
Department of Vascular Surgery, Mohammed V Military Hospital, Mohammed V University, Dr Abissegue Yves S/C ERSSM BP 1044 Rabat Océan Maroc, Rabat, Morocco. hassanchtata@gmail.com.
Hassan
H
Chtata
Department of Vascular Surgery, Mohammed V Military Hospital, Mohammed V University, Dr Abissegue Yves S/C ERSSM BP 1044 Rabat Océan Maroc, Rabat, Morocco. dr.bakkalitarik@gmail.com.
Tarik
T
Bakkali
Department of Vascular Surgery, Mohammed V Military Hospital, Mohammed V University, Dr Abissegue Yves S/C ERSSM BP 1044 Rabat Océan Maroc, Rabat, Morocco. m.taberkant@yahoo.fr.
Mustapha
M
Taberkant
D000792:Angiography; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000473:pathology*; D004617:Embolism / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy*; D006801:Humans; D007866:Leg / Q000000981:diagnostic imaging; D008297:Male; D008875:Middle Aged; D011651:Pulmonary Artery / Q000000981:diagnostic imaging / Q000473:pathology; D013927:Thrombosis / Q000150:complications* / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed