Gündoğdu Fuat, Bakırcı Eftal Murat, Değirmenci Hüsnü, Becit Necip
Department of Cardiology, Medicine Faculty of Atatürk University, Erzurum, Turkey.
Turk Kardiyol Dern Ars. 2011 Jan;39(1):52-4.
A 44-year-old woman was admitted with the diagnosis of peripheral arterial emboli. Peripheral angiography demonstrated total occlusion of the popliteal artery. The obstruction was successfully resolved with a Fogarty arterial embolectomy catheter. Both transthoracic and transesophageal echocardiography showed a mobile, round thrombus in the noncoronary sinus of Valsalva. The patient did not accept surgery, and anticoagulation with warfarin was initiated. One month after treatment, transthoracic echocardiography demonstrated disappearance of the thrombus in the noncoronary sinus of Valsalva. The patient did not experience any recurrent episode of systemic embolization. This is a rare case of peripheral embolism caused by a thrombus in the noncoronary sinus of Valsalva without aneurysm.
一名44岁女性因外周动脉栓塞诊断入院。外周血管造影显示腘动脉完全闭塞。使用Fogarty动脉取栓导管成功解除了阻塞。经胸和经食管超声心动图均显示在主动脉无冠窦有一个可移动的圆形血栓。患者未接受手术，开始使用华法林进行抗凝治疗。治疗1个月后，经胸超声心动图显示主动脉无冠窦内血栓消失。患者未出现任何全身性栓塞复发事件。这是一例罕见的由无动脉瘤的主动脉无冠窦血栓引起的外周栓塞病例。
