胸主动脉特发性漂浮血栓导致的急性全身栓塞：内科治疗成功：一例病例报告
Acute systemic embolism due to an idiopathic floating thrombus of the thoracic aorta: success of medical management: a case report.
作者信息
Abissegue Yves Ghislain, Lyazidi Youssef, Chtata Hassan, Bakkali Tarik, Taberkant Mustapha
机构信息
Department of Vascular Surgery, Mohammed V Military Hospital, Mohammed V University, Dr Abissegue Yves S/C ERSSM BP 1044 Rabat Océan Maroc, Rabat, Morocco.
出版信息
BMC Res Notes. 2015 May 2;8:181. doi: 10.1186/s13104-015-1149-1.
BACKGROUND
Idiopathic thoracic aortic mural thrombi are rare. They can be responsible for dramatic systemic embolization. Early treatment is imperative because of their high morbidity and mortality rate.
CASE PRESENTATION
A 55-year-old previously healthy Moroccan male came in an array of acute right lower limbs pain and abdominal sensibility. Severe systemic embolism involving the lower extremities, spleen, kidney, and digestive tract, due to an idiopathic mural thrombus of the thoracic aorta was diagnosed. He received medical treatment leading to the complete disappearance of the thrombus and the effects caused by the latter.
CONCLUSIONS
When faced unexplained peripheral embolization, research for a thrombus of the thoracic aorta should be performed. Medical treatment should be considered for its management, especially in patients with high surgical risk.
背景
特发性胸主动脉壁血栓罕见。它们可导致严重的全身栓塞。由于其高发病率和死亡率，早期治疗势在必行。
病例介绍
一名55岁、既往健康的摩洛哥男性因一系列急性右下肢疼痛和腹部感觉异常前来就诊。诊断为因胸主动脉特发性壁血栓导致的累及下肢、脾脏、肾脏和消化道的严重全身栓塞。他接受了药物治疗，血栓及其造成的影响完全消失。
结论
当面对不明原因的外周栓塞时，应排查胸主动脉血栓。对于其治疗应考虑药物治疗，尤其是手术风险高的患者。
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