Thoracic Endovascular Aortic Repair in a Patient with Mobile Aortic Thrombosis

Abstract EN

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.