Fueglistaler Philipp, Wolff Thomas, Guerke Lorenz, Stierli Peter, Eugster Thomas
University Centre for Vascular Surgery, University Hospital Aauru/Basle, Basel, Switzerland.
J Vasc Surg. 2005 Oct;42(4):781-3. doi: 10.1016/j.jvs.2005.05.054.
Mobile thoracic aortic thrombus is a potential source of arterial embolism. Therapeutic management remains controversial. Systemic anticoagulation and various open surgical procedures are the commonly used therapeutic modalities. We report the successful primary treatment by endovascular stent graft of a mobile thoracic aortic thrombus that had caused visceral and peripheral embolism. Our case shows that endovascular stent-graft treatment is an effective, minimally invasive treatment of symptomatic mobile thoracic aortic thrombus.
移动性胸主动脉血栓是动脉栓塞的潜在来源。治疗管理仍存在争议。全身抗凝和各种开放手术是常用的治疗方式。我们报告了通过血管内支架移植物成功地对导致内脏和外周栓塞的移动性胸主动脉血栓进行的初次治疗。我们的病例表明，血管内支架移植物治疗是对有症状的移动性胸主动脉血栓的一种有效、微创的治疗方法。
