Poon Shi Sum, Nawaytou Omar, Hing Alfred, Field Mark
Thoracic Aneurysm Services, Department of Cardiac Surgery, Liverpool Heart and Chest Hospital, Liverpool, United Kingdom.
Thoracic Aneurysm Services, Department of Cardiac Surgery, Liverpool Heart and Chest Hospital, Liverpool, United Kingdom.
Ann Thorac Surg. 2017 Sep;104(3):e219-e220. doi: 10.1016/j.athoracsur.2017.03.033.
A floating giant aortic thrombus is a rare finding in the absence of any coagulation disorder. Patients usually remain asymptomatic until the development of embolic complications. Our report highlights cocaine abuse as a potential cause of aortic thrombus and bowel perforation. Clinicians should have a high index of suspicion when treating patients with a history of illicit cocaine use with signs and symptoms of arterial ischemia. The risks of cardiovascular and abdominal complications related to cocaine use should not be underestimated. Prompt diagnosis is required to circumvent potentially life-threatening complications.
在没有任何凝血障碍的情况下出现漂浮性巨大主动脉血栓是一种罕见的发现。患者通常在出现栓塞并发症之前一直无症状。我们的报告强调可卡因滥用是主动脉血栓和肠穿孔的一个潜在原因。临床医生在治疗有非法使用可卡因病史且伴有动脉缺血体征和症状的患者时应保持高度怀疑。与可卡因使用相关的心血管和腹部并发症的风险不应被低估。需要及时诊断以避免潜在的危及生命的并发症。
