Acute mesenteric ischemia caused by floating thrombus of the descending thoracic aorta - Case report

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00159816%3A_____%2F20%3A00073545" target="_blank" >RIV/00159816:_____/20:00073545 - isvavai.cz</a>

Alternative codes found

RIV/00216224:14110/20:00118639

Result on the web

<a href="https://e-coretvasa.cz/pdfs/cor/2020/06/14.pdf" target="_blank" >https://e-coretvasa.cz/pdfs/cor/2020/06/14.pdf</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.33678/cor.2020.091" target="_blank" >10.33678/cor.2020.091</a>

Result language

angličtina

Original language name

Acute mesenteric ischemia caused by floating thrombus of the descending thoracic aorta - Case report

Original language description

Introduction: Floating thrombus of the descending thoracic aorta (FTDTA) is defi ned as the presence of a thrombus inside the thoracic aorta, which is caused by an injury to the thoracic aortic wall (dissection, atherosclerosis, tumour, or trauma) or a thrombophilic state in the absence of a thoracic aortic wall injury. It is a rare condition, but can result in peripheral embolisation mainly into the limbs or visceral circulation. Report: A 63-year-old woman presented with signs of visceral embolisation into the superior mesenteric artery (SMA) and splenic artery (SA). Preoperative CT angiography (CTA) discovered the presence of FTDTA. She underwent emergent open embolectomy of the descending thoracic aorta and SMA done through a visceral segment of the abdominal aorta, reached by left-sided medial visceral rotation. During second-look laparotomy, she underwent splenectomy and ileal resection with end-to-end jejuno-ileal anastomosis. CTA of the thoracic and abdominal aorta performed 12 months after the initial operation showed no residual thrombus inside the aorta and patent peripheral vascular beds. Thirty-two months after the index operation, the patient shows no signs of malabsorption and is in good clinical condition. Conclusion: Acute mesenteric ischemia resulting from embolisation of FTDTA is a rare disease. Our surgical approach was guided by the primary abdominal symptomatology of our patient and a clinical suspicion of transmural bowel ischemia being present. Our good clinical outcome confi rms the viability of the open surgical approach towards the therapy of complicated FTDTA. (C) 2020 Czech Society of Cardiology Z.S. All rights reserved.

Czech name

—

Czech description

—

Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30200 - Clinical medicine

Project

<a href="/en/project/NV17-29701A" target="_blank" >NV17-29701A: Ischemia modified albumin and circulating microRNAs as a new technology for monitoring of tissue ischemia following abdominal aortic vascular surgery</a><br>

Continuities

P - Projekt vyzkumu a vyvoje financovany z verejnych zdroju (s odkazem do CEP)

Publication year

2020

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Cor et Vasa

ISSN

0010-8650

e-ISSN

—

Volume of the periodical

62

Issue of the periodical within the volume

6

Country of publishing house

CZ - CZECH REPUBLIC

Number of pages

4

Pages from-to

629-632

UT code for WoS article

000600548100014

EID of the result in the Scopus database

2-s2.0-85098842819