Free floating thrombus in the proximal descending aorta is an uncommon and dangerous condition that can be associated with acute peripheral embolization. The few cases described were solved with surgical and/or medical therapy. We report the case of a patient with acute left arm ischemia secondary to the presence of floating thrombus in the proximal descending aorta extending into the left subclavian artery, solved with combined endovascular and surgical therapy. Treatment was successfully performed with thrombembolectomy combined with temporary deployment, into the descending aorta, of a Wallstent in a "basket-fashion" to avoid distal embolization secondary to thrombus fragmentation. At 1 year follow-up the patient remained symptom-free.
Acute Left Arm Ischemia Associated with Floating Thrombus in the Proximal Descending Aorta: Combined Endovascular and Surgical Therapy / Fanelli, F; Gazzetti, M; Boatta, E; Ruggiero, M; Lucatelli, Pierleone; Speziale, Francesco. - In: CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY. - ISSN 0174-1551. - 29:(2010), pp. ?-?. [10.1007/s00270-010-9804-3]
Acute Left Arm Ischemia Associated with Floating Thrombus in the Proximal Descending Aorta: Combined Endovascular and Surgical Therapy.
LUCATELLI, PIERLEONE;SPEZIALE, Francesco
2010
Abstract
Free floating thrombus in the proximal descending aorta is an uncommon and dangerous condition that can be associated with acute peripheral embolization. The few cases described were solved with surgical and/or medical therapy. We report the case of a patient with acute left arm ischemia secondary to the presence of floating thrombus in the proximal descending aorta extending into the left subclavian artery, solved with combined endovascular and surgical therapy. Treatment was successfully performed with thrombembolectomy combined with temporary deployment, into the descending aorta, of a Wallstent in a "basket-fashion" to avoid distal embolization secondary to thrombus fragmentation. At 1 year follow-up the patient remained symptom-free.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.