Extensive trombosis of thoracic aorta – an unusual source of acute peripheral arterial embolism.
1; K. El Samman
2; B. Míková
3; P. Niederle
Přednosta: prof. MUDr. Petr Niederle, DrSc.
1; Oddělení cévní chirurgie
Přednosta: doc. MUDr. Pavel Šebesta, CSc.
2; Radiodiagnostické oddělení
Přednosta: MUDr. Ladislava Janoušková, CSc.
Nemocnice Na Homolce, Praha
Ředitel: MUDr. Vladimír Dbalý
Prakt. Lék. 2007; 87(4): 238-240
The case of a 58 year old patient with acute arterial occlusions of both lower limbs is presented. Bilateral embolectomy (Fogarthy’s catheter) was performed immediately, followed by attempts to discover the source of potential emboli. Transoesophageal echocardiography (TEE) detected extensive thrombosis of the descending aorta. Its peripheral tail was considered malignant. The finding was confirmed by computer tomography examination (CT angiography). A decision was made, taken together with the patient, to administer the conservative anticoagulant treatment. Both diagnostic imaging techniques were repeated after four months and their results indicated almost complete regression of the original aortic thrombosis with no other embolic events. This uncommon and remarkable case emphasizes the substantial role of TEE in the diagnosis of potential embolic sources.
Aortic thrombosis, arterial embolisation, transoesophageal echocardiography.
General practitioner for children and adolescents
General practitioner for adults