Cañadas Victoria, Vilacosta Isidre, Luaces María, Bustos Ana, Ferreirós Joaquín, Aragoncillo Paloma, Pérez de Isla Leopoldo, Rodríguez Enrique
Servicio de Cardiología, Instituto Cardiovascular, Hospital Clínico San Carlos, Madrid, España.
Rev Esp Cardiol. 2008 Feb;61(2):196-200.
With the advent of new imaging techniques, the aorta has been increasingly identified as a source of arterial embolism. The majority of thrombi occur in aneurysms or are adherent to atherosclerotic lesions in the abdominal aorta. Thrombi in the thoracic aorta are much less common, particularly in apparently normal aortas. Consequently, the natural history and optimal treatment of these lesions are not well-defined. The aim of this article was to describe the clinical characteristics, treatment, and outcome in three patients with thoracic aorta thrombosis and arterial embolism. Currently available literature on this pathology is reviewed and the differential diagnosis of these lesions is discussed.
随着新的成像技术的出现,主动脉越来越多地被认为是动脉栓塞的来源。大多数血栓发生在动脉瘤中或附着于腹主动脉的动脉粥样硬化病变处。胸主动脉血栓则要少见得多,尤其是在看似正常的主动脉中。因此,这些病变的自然病史和最佳治疗方法尚未明确。本文旨在描述三名胸主动脉血栓形成和动脉栓塞患者的临床特征、治疗方法及预后。本文回顾了目前关于这一病理情况的文献,并讨论了这些病变的鉴别诊断。