Morris Marvin E, Galiñanes Edgar Luis, Nichols W Kirt, Ross Charles B, Chauvupun Joe
University of Louisville, Louisville, KY 40059, USA.
Ann Vasc Surg. 2011 Nov;25(8):1140.e17-21. doi: 10.1016/j.avsg.2011.05.030.
Thoracic mural thrombi (TMT) are rare but an important source of distal emboli. Treatment options are dynamic, ranging from open, endovascular to conservative therapies. We report two cases of TMT, one successfully treated with thoracic aortic endoluminal stent placement for visceral and peripheral embolization, the second treated conservatively for digital embolization secondary to TMT in the innominate artery.
胸壁血栓(TMT)虽罕见,但却是远端栓子的重要来源。治疗方案多样,从开放手术、血管腔内治疗到保守治疗。我们报告两例TMT病例,一例成功接受胸主动脉腔内支架置入术以治疗内脏和外周栓塞,另一例因无名动脉TMT继发指端栓塞而接受保守治疗。