Fukuhara Shinichi, Tyagi Samuel, Clarke-Pearson Emily, Bernik Thomas
Division of Vascular Surgery, Beth Israel Medical Center, New York, USA
Division of Vascular Surgery, Beth Israel Medical Center, New York, USA.
Vascular. 2015 Feb;23(1):89-92. doi: 10.1177/1708538114525154. Epub 2014 Feb 25.
Thoracic aortic mural thrombus (TAMT) is a rare pathology and potential source of cerebral, visceral, and peripheral emboli. We present a 62-year-old male in a hypercoagulable state due to primary polycythemia vera (PV) developed TAMT and catastrophic thromboembolisms despite aggressive medical and surgical management. The outcomes and adverse events of endovascular exclusion of TAMT in the presence of PV are unknown. We would recommend proceeding with extreme caution when performing endovascular exclusion of TAMT, as PV may be a prohibitive risk.
胸主动脉壁血栓（TAMT）是一种罕见的病理情况，是脑、内脏和外周栓子的潜在来源。我们报告一名62岁男性，因原发性真性红细胞增多症（PV）处于高凝状态，尽管接受了积极的药物和手术治疗，仍发生了TAMT和灾难性血栓栓塞。在存在PV的情况下，血管内排除TAMT的结果和不良事件尚不清楚。我们建议在进行TAMT的血管内排除时要极其谨慎，因为PV可能是一个极高的风险因素。
