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Peripherally Embolizing Aortic Thrombus: The Work-Up, Management, and Outcome of Primary Aortic Thrombus
Joint Authors
Mando, Ramy
Gemayel, Robert
Chaddha, Ashish
Barbat, Julian J.
Cami, Elvis
Source
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-07-02
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Background.
Primary aortic thrombus is an uncommon entity and not frequently reported in the literature.
Herein, we discuss the presentation and management of a patient with a primary thoracic mural thrombus.
Case Summary.
A 46-year-old female with past medical history of tobacco dependence presented for low-grade fever and sudden onset, severe right upper quadrant abdominal pain with associated nausea and vomiting.
Computed tomography (CT) revealed an intraluminal polypoid filling defect arising from the isthmus of the aorta projecting into the proximal descending aorta and findings consistent with infarction of the spleen and right kidney.
Infectious, autoimmune, hematologic, and oncologic work-up were all unyielding.
The patient was started on heparin and later transitioned to apixaban 5 mg twice a day and 81 mg of aspirin daily.
She was also counseled regarding smoking cessation.
Two months follow-up CT revealed resolution of the thrombus.
Patient had no further thromboembolic complications.
Discussion.
We present a unique case of primary aortic thrombus.
To our knowledge, this is the first reported case managed successfully with a NOAC.
This diagnosis is one of exclusion and through work-up should be completed.
Our aim is to raise awareness of this condition and successful management with apixaban in low-risk patients.
American Psychological Association (APA)
Mando, Ramy& Gemayel, Robert& Chaddha, Ashish& Barbat, Julian J.& Cami, Elvis. 2019. Peripherally Embolizing Aortic Thrombus: The Work-Up, Management, and Outcome of Primary Aortic Thrombus. Case Reports in Cardiology،Vol. 2019, no. 2019, pp.1-6.
https://search.emarefa.net/detail/BIM-1134015
Modern Language Association (MLA)
Mando, Ramy…[et al.]. Peripherally Embolizing Aortic Thrombus: The Work-Up, Management, and Outcome of Primary Aortic Thrombus. Case Reports in Cardiology No. 2019 (2019), pp.1-6.
https://search.emarefa.net/detail/BIM-1134015
American Medical Association (AMA)
Mando, Ramy& Gemayel, Robert& Chaddha, Ashish& Barbat, Julian J.& Cami, Elvis. Peripherally Embolizing Aortic Thrombus: The Work-Up, Management, and Outcome of Primary Aortic Thrombus. Case Reports in Cardiology. 2019. Vol. 2019, no. 2019, pp.1-6.
https://search.emarefa.net/detail/BIM-1134015
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1134015