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Acute limb ischemia caused by floating thrombus in the aorta: a case report and literature review

This report presents a patient with rheumatoid arthritis and COVID-19 infection one month earlier who experienced embolic episodes resulting in acute lower-limb ischemia from an unusual source. The blood flow was successfully restored by femoropopliteal thromboembolectomy. In determining the source...

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Autores principales: Guo, Fuzheng, He, Zhibin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10337781/
https://www.ncbi.nlm.nih.gov/pubmed/37448790
http://dx.doi.org/10.3389/fcvm.2023.1203003
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author Guo, Fuzheng
He, Zhibin
author_facet Guo, Fuzheng
He, Zhibin
author_sort Guo, Fuzheng
collection PubMed
description This report presents a patient with rheumatoid arthritis and COVID-19 infection one month earlier who experienced embolic episodes resulting in acute lower-limb ischemia from an unusual source. The blood flow was successfully restored by femoropopliteal thromboembolectomy. In determining the source of the embolism, the patient underwent electrocardiogram, transthoracic echocardiogram, and aortic CTA. The latter revealed a large, pedunculated, and mobile thrombus arising from the aortic arch and the descending thoracic aorta. Considering the patient's general health condition, we performed anticoagulation of the floating thrombus in the aortic lumen. The mechanism of aortic floating thrombosis exhibits considerable complexity. There are no standardized treatment protocols or clinical guidelines, and its treatment mainly includes open surgery, aortic endoluminal stent -graft insertion and pharmacological anticoagulation. Treatment strategy should be based on the cause of the disease and the patient's physical condition.
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spelling pubmed-103377812023-07-13 Acute limb ischemia caused by floating thrombus in the aorta: a case report and literature review Guo, Fuzheng He, Zhibin Front Cardiovasc Med Cardiovascular Medicine This report presents a patient with rheumatoid arthritis and COVID-19 infection one month earlier who experienced embolic episodes resulting in acute lower-limb ischemia from an unusual source. The blood flow was successfully restored by femoropopliteal thromboembolectomy. In determining the source of the embolism, the patient underwent electrocardiogram, transthoracic echocardiogram, and aortic CTA. The latter revealed a large, pedunculated, and mobile thrombus arising from the aortic arch and the descending thoracic aorta. Considering the patient's general health condition, we performed anticoagulation of the floating thrombus in the aortic lumen. The mechanism of aortic floating thrombosis exhibits considerable complexity. There are no standardized treatment protocols or clinical guidelines, and its treatment mainly includes open surgery, aortic endoluminal stent -graft insertion and pharmacological anticoagulation. Treatment strategy should be based on the cause of the disease and the patient's physical condition. Frontiers Media S.A. 2023-06-28 /pmc/articles/PMC10337781/ /pubmed/37448790 http://dx.doi.org/10.3389/fcvm.2023.1203003 Text en © 2023 Guo and He. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Cardiovascular Medicine
Guo, Fuzheng
He, Zhibin
Acute limb ischemia caused by floating thrombus in the aorta: a case report and literature review
title Acute limb ischemia caused by floating thrombus in the aorta: a case report and literature review
title_full Acute limb ischemia caused by floating thrombus in the aorta: a case report and literature review
title_fullStr Acute limb ischemia caused by floating thrombus in the aorta: a case report and literature review
title_full_unstemmed Acute limb ischemia caused by floating thrombus in the aorta: a case report and literature review
title_short Acute limb ischemia caused by floating thrombus in the aorta: a case report and literature review
title_sort acute limb ischemia caused by floating thrombus in the aorta: a case report and literature review
topic Cardiovascular Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10337781/
https://www.ncbi.nlm.nih.gov/pubmed/37448790
http://dx.doi.org/10.3389/fcvm.2023.1203003
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