Article thumbnail

Floating aortic thrombus: the endovascular approach

By W-J Metsemakers, J Duchateau, Filip Vanhoenacker, Y Tielemans and J De Leersnyder

Abstract

Case report : We report a 71-year-old obese white female who presented with sudden right calf pain after-a long distance flight. Symptoms were initially regarded as venous in origin. Duplex investigation ruled out deep vein thrombosis. Ultimately she presented to our department with complaints of claudication. Clinical evaluation and a new duplex scan showed occlusion of the right popliteal artery. Further evaluation with CT-angiography showed, besides occlusion of the right popliteal artery, a floating thrombus in the infrarenal abdominal aorta. The thrombus was treated with a bare-metal stent placed through a femoral approach. CT-scans at 1 and 3 months demonstrated complete exclusion of the thrombus. The claudication of the right calf resolved spontaneously. Floating thrombus of the infrarenal abdominal aorta is a rare cause of distal arterial embolisation. CT-scan with contrast enhancement is the preferred diagnostic technique. Endovascular repair seems to be the treatment of choice and in our opinion a covered stent is not required. Anticoagulation therapy needs to be guided on an individual patient basis

Topics: Medicine and Health Sciences, THORACIC AORTA, MOBILE THROMBUS, INFRARENAL AORTA, ABDOMINAL-AORTA, MURAL THROMBUS, EMBOLIZATION, ANTICOAGULATION, ISCHEMIA, THERAPY
Year: 2013
DOI identifier: 10.1080/00015458.2013.11680885
OAI identifier: oai:archive.ugent.be:3145286
Download PDF:
Sorry, we are unable to provide the full text but you may find it at the following location(s):
  • https://biblio.ugent.be/public... (external link)
  • http://hdl.handle.net/1854/LU-... (external link)
  • https://biblio.ugent.be/public... (external link)
  • Suggested articles


    To submit an update or takedown request for this paper, please submit an Update/Correction/Removal Request.