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 pati...

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Main Authors: Graham M. Lohrmann, Ferande Peters
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Vascular Medicine
Online Access:http://dx.doi.org/10.1155/2014/302346
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author Graham M. Lohrmann
Ferande Peters
author_facet Graham M. Lohrmann
Ferande Peters
author_sort Graham M. Lohrmann
collection DOAJ
description 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.
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publishDate 2014-01-01
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series Case Reports in Vascular Medicine
spelling doaj-art-423fda79372c433d8440a5b5def4f7042025-08-20T02:37:46ZengWileyCase Reports in Vascular Medicine2090-69862090-69942014-01-01201410.1155/2014/302346302346Thoracic Endovascular Aortic Repair in a Patient with Mobile Aortic ThrombosisGraham M. Lohrmann0Ferande Peters1Chris Hani Baragwanath Academic Hospital, Old Potchefstroom Road, Soweto, Johannesburg 2013, South AfricaFlora Clinic, William Nicol Drive, Floracliffe, Johannesburg 1709, South AfricaA 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.http://dx.doi.org/10.1155/2014/302346
spellingShingle Graham M. Lohrmann
Ferande Peters
Thoracic Endovascular Aortic Repair in a Patient with Mobile Aortic Thrombosis
Case Reports in Vascular Medicine
title Thoracic Endovascular Aortic Repair in a Patient with Mobile Aortic Thrombosis
title_full Thoracic Endovascular Aortic Repair in a Patient with Mobile Aortic Thrombosis
title_fullStr Thoracic Endovascular Aortic Repair in a Patient with Mobile Aortic Thrombosis
title_full_unstemmed Thoracic Endovascular Aortic Repair in a Patient with Mobile Aortic Thrombosis
title_short Thoracic Endovascular Aortic Repair in a Patient with Mobile Aortic Thrombosis
title_sort thoracic endovascular aortic repair in a patient with mobile aortic thrombosis
url http://dx.doi.org/10.1155/2014/302346
work_keys_str_mv AT grahammlohrmann thoracicendovascularaorticrepairinapatientwithmobileaorticthrombosis
AT ferandepeters thoracicendovascularaorticrepairinapatientwithmobileaorticthrombosis