Journal of Thrombosis and Thrombolysis

, Volume 24, Issue 3, pp 315–316 | Cite as

Multiple mobile aortic thrombosis treated by thrombolysis. A case report

  • Václav Durdil
  • Jiří Fiedler
  • David Alan
  • Jiří Vejvoda
  • Josef Veselka
Article

Abstract

Mobile aortic thrombosis is a relatively rare condition with a high morbidity particularly due to peripheral embolisation. The most frequent management is anticoagulant or surgical therapy but the number of cases reported is limited and therapeutic approaches are still not well established. We present a case of large multiple mobile pedunculated thrombosis in descending aorta treated by thrombolysis.

Keywords

Aorta Thrombus Management Thrombolysis Anticoagulation 

References

  1. 1.
    Mitchell MM, Frankville DD, Weinger MB, Dittrich HC (1991) Detection of thoracic aortic atheroma with transesophageal echocardiography in patients without symptoms of embolism. Am Heart J 122:1768–1771PubMedCrossRefGoogle Scholar
  2. 2.
    Tunick PA, Perez JC, Kronzon I (1991) Protruding atheromas in the thoracic aorta and systemic embolisation. Ann Intern Med 115:423–427PubMedGoogle Scholar
  3. 3.
    Dee W, Geibel A, Kasper W, Konstantinides S, Just H (1993) Mobile thrombi in atherosclerotic lesions of the thoracic aorta: the diagnostic impact of transesophageal echocardiography. Am Heart J 126:707–710PubMedCrossRefGoogle Scholar
  4. 4.
    Choukroun EM, Labrousse LM, Madonna FP, Deville C (2002) Mobile thrombus of the thoracic aorta: diagnosis and treatment in 9 cases. Ann Vasc Surg 16:714–722PubMedCrossRefGoogle Scholar
  5. 5.
    Fueglistaler P, Wolff T, Guerke L, Stierli P, Eugster T (2005) Endovascular stent graft for symptomatic mobile thrombus of the thoracic aorta. J Vasc Surg 42:781–783PubMedCrossRefGoogle Scholar
  6. 6.
    Hausmann D, Gulba D, Bargheer K, Niedermeyer J, Comess KA, Daniel WG (1992) Successful thrombolysis of an aortic-arch thrombus in a patient after mesenteric embolism. N Engl J Med 327:500–501PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Václav Durdil
    • 1
  • Jiří Fiedler
    • 1
  • David Alan
    • 1
  • Jiří Vejvoda
    • 1
  • Josef Veselka
    • 1
  1. 1.Department of Cardiology, Cardiovascular CenterUniversity Hospital MotolPrague 5Czech Republic

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