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

Kód výsledku v 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>

Nalezeny alternativní kódy

RIV/00216224:14110/20:00118639

Výsledek na webu

<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>

Jazyk výsledku

angličtina

Název v původním jazyce

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

Popis výsledku v původním jazyce

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.

Název v anglickém jazyce

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

Popis výsledku anglicky

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.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30200 - Clinical medicine

Projekt

<a href="/cs/project/NV17-29701A" target="_blank" >NV17-29701A: Ischémií modifikovaný albumin a cirkulující mikroRNA jako nové technologie k monitorování tkáňové ischémie po cévních rekonstrukcích na břišní aortě</a><br>

Návaznosti

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

Rok uplatnění

2020

Kód důvěrnosti údajů

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

Název periodika

Cor et Vasa

ISSN

0010-8650

e-ISSN

—

Svazek periodika

62

Číslo periodika v rámci svazku

6

Stát vydavatele periodika

CZ - Česká republika

Počet stran výsledku

4

Strana od-do

629-632

Kód UT WoS článku

000600548100014

EID výsledku v databázi Scopus

2-s2.0-85098842819