title: Endovascular Treatment of Symptomatic Thrombus of the Descending Thoracic Aorta.
abstract: Thoracic aorta mural thrombosis (TAMT) is uncommon pathology with potentially catastrophic complications due to recurrent spontaneous distal embolization. Best treatment, medical or surgical, is still under debate especially in high-risk patients. Endovascular approach by means of thoracic endoprosthesis seems to be a feasible and minimally invasive treatment option. We report a successful treatment of symptomatic TAMT using a thoracic aortic stent graft in a high-risk patient for open repair and contraindication to systemic anticoagulation.
authors.affiliation: Unit of Vascular and Endovascular Surgery, "San Paolo" Hospital, Rome, Italy. Electronic address: andreasiani@yahoo.it.
authors.forename: Andrea
authors.initials: A
authors.lastname: Siani
authors.affiliation: Unit of Vascular and Endovascular Surgery, "San Paolo" Hospital, Rome, Italy.
authors.forename: Federico
authors.initials: F
authors.lastname: Accrocca
authors.affiliation: Unit of Vascular and Endovascular Surgery, "San Paolo" Hospital, Rome, Italy.
authors.forename: Gennaro
authors.initials: G
authors.lastname: De Vivo
authors.affiliation: Anaesthesiology Department, European Hospital, Rome, Italy.
authors.forename: Federica
authors.initials: F
authors.lastname: Mounayergi
authors.affiliation: Unit of Vascular and Endovascular Surgery, "San Paolo" Hospital, Rome, Italy.
authors.forename: Giustino
authors.initials: G
authors.lastname: Marcucci
mesh_terms: D000925:Anticoagulants; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D001018:Aortic Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000295:instrumentation; D000072226:Computed Tomography Angiography; D000075202:Contraindications; D017548:Echocardiography, Transesophageal; D057510:Endovascular Procedures / Q000295:instrumentation; D005260:Female; D006801:Humans; D008875:Middle Aged; D011474:Prosthesis Design; D015607:Stents; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000601:surgery*; D016896:Treatment Outcome
chemical_list: D000925:Anticoagulants