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胸腹主动脉壁内及漂浮血栓延伸至肠系膜上动脉。

Thoracoabdominal aortic mural and floating thrombus extending into superior mesenteric artery.

作者信息

Kandemirli Sedat Giray, Balkanay Ozan Onur, Awiwi Muhammad Osama, Durmaz Eser, Goksedef Deniz, Comunoglu Nil

机构信息

Department of Radiology, Cerrahpasa Medical Faculty, Istanbul University, Fatih, 34098, Istanbul, Turkey.

Department of Cardiovascular Surgery, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey.

出版信息

J Med Ultrason (2001). 2018 Jul;45(3):539-542. doi: 10.1007/s10396-017-0848-8. Epub 2017 Dec 13.

DOI:10.1007/s10396-017-0848-8
PMID:29236196
Abstract

Thrombus in the thoracic aorta not related to aneurysm or atherosclerosis is a rare clinical entity with a limited number of cases reported. Floating thrombus is defined as non-adherent part of the thrombus floating within the aortic lumen. Herein, we present a 48-year-old woman who presented with progressive midline dull, aching abdominal pain of 2-day duration. Thoracoabdominal computed tomography revealed a free floating thrombus extending from the aortic arch into the superior mesenteric artery. Transesophageal echocardiography confirmed the findings of a thrombus extending through the aortic arch. Floating thrombus within the aortic lumen in a morphologically normal descending thoracic and abdominal aorta is a rare entity.

摘要

胸主动脉内与动脉瘤或动脉粥样硬化无关的血栓是一种罕见的临床实体,报告的病例数量有限。漂浮血栓定义为在主动脉腔内漂浮的血栓非附着部分。在此,我们报告一名48岁女性,她出现持续2天的进行性中线钝痛、腹痛。胸腹计算机断层扫描显示一个游离漂浮血栓从主动脉弓延伸至肠系膜上动脉。经食管超声心动图证实了血栓延伸穿过主动脉弓的发现。形态正常的降主动脉和腹主动脉腔内的漂浮血栓是一种罕见的情况。

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本文引用的文献

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Successful removal of a floating thrombus in ascending aorta.升主动脉内漂浮血栓成功取出。
Ann Thorac Surg. 2011 May;91(5):e67-9. doi: 10.1016/j.athoracsur.2010.12.011.
2
Thrombus in the non-aneurysmal, non-atherosclerotic descending thoracic aorta--an unusual source of arterial embolism.降主动脉非夹层非粥样硬化部位血栓——动脉栓塞的一个不常见来源。
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Floating, non-occlusive, mobile aortic thrombus and splenic infarction associated with protein C deficiency.
升主动脉内巨大漂浮血栓:1 例报告。
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Floating aortic arch thrombus involving the supraaortic trunks: successful treatment with supra-aortic debranching and antegrade endograft implantation.累及主动脉弓上分支的漂浮性主动脉弓血栓:经主动脉弓上分支血管重建及顺行性腔内移植物植入术成功治疗
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Resolution of large intra-aortic thrombus following anticoagulation therapy.抗凝治疗后主动脉内大血栓溶解
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7
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